Active NPI
Jill S. Shriver, RD
- Registered Dietitian
- Pittsburg, KS
National Provider Identifier
1568555175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1139
- Practice address
- 1 Mt. Carmel Way
Pittsburg, KS 66762 - Phone
- (620) 232-0133
- Fax
- (620) 232-0163
- NPI assigned
- Oct 2, 2006
- Last updated
- Feb 11, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1139 | KS | Primary |
Addresses
Primary practice location
1 Mt. Carmel Way
Pittsburg, KS 66762
Mailing address
P.O. Pox 1266
Pittsburg, KS 66762
Phone (620) 232-0133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1139 | KS | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455148800000",
"number": "1568555175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. POX 1266",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "66762",
"telephone_number": "620-232-0133",
"fax_number": "620-232-0163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MT. CARMEL WAY",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "66762",
"telephone_number": "620-232-0133",
"fax_number": "620-232-0163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHRIVER",
"first_name": "JILL",
"middle_name": "S.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2016-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "1139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburg, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.