Jeanice A. Shimon, RD,LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

230 Issued in KS

Practice address

1300 E 5TH Ave
Winfield, KS 67156-2407

Phone

(620) 221-2300

Fax

(620) 221-3594

NPI assigned

Sep 14, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1609971639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E 5TH AVE",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671562407",
            "telephone_number": "620-221-2300",
            "fax_number": "620-221-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E 5TH AVE",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671562407",
            "telephone_number": "620-221-2300",
            "fax_number": "620-221-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMON",
        "first_name": "JEANICE",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "RD,LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "486005089",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000030",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "014013",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100005090A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lock Lin Schnelle, ATC, LAT
• Kathryn Searing
• Sapna Shah-Haque, MD
• Sharon S Shepard, LSCSW
• Andrea Louise Shepherd
• Jessica Dawn Sloan
• Alan Smith, LCMFT
• Donna Smith
• Lacey R Smith, LAC
• Solutions Integrative Medicine and Diagnostic Center,Inc.

• Registered Dietitian in Winfield, KS
• Providers in Winfield, KS by specialty
• Registered Dietitian in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.