Anouk Danielle Shelton, MBA, RD, LD, CNSC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

37003364A Issued in IN

Practice address

300 S Saint Louis Blvd
South Bend, IN 46617-3043

Phone

(574) 301-5205

Fax

(574) 301-5205

NPI assigned

Aug 25, 2021

Last updated

Aug 2, 2022By the provider in NPPES

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 names 1

• Miss Anouk Danielle Breuker Former name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michiana Nutrition and Diabetes Education LLC

  • Health Service Clinic/Center
  • South Bend, IN
  • NPI 1619604410
  Medicare reassignment NPD Authorized official
• Elkhart General Hospital, Inc.

  • General Acute Care Hospital
  • Elkhart, IN
  • NPI 1477551489
  Medicare reassignment NPD
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1619644960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16151 PETRO DR",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465446422",
            "telephone_number": "815-342-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S SAINT LOUIS BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466173043",
            "telephone_number": "574-301-5205",
            "fax_number": "574-301-5205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 East Blvd",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465142499",
            "country_code": "US",
            "telephone_number": "574-296-6589",
            "fax_number": "574-296-6589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "ANOUK",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "MBA, RD, LD, CNSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37003364A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANOUK",
            "last_name": "BREUKER",
            "middle_name": "DANIELLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clarice Shear, MA
• Michael Robert Sheehan, PHD, HSPP
• Kelly Elizabeth Sheets, LPC-MHSP
• Jasmine Shelby, LMHCA
• Shelly Overgaard, LCSW, LLC
• Stephanie Ann Shemanski
• Joanna Sue Shembarger, PTA
• Alon Shemesh, DDS
• Alyssia Shepley-Minner
• Ashley Sheppard

• Registered Dietitian in South Bend, IN
• Providers in South Bend, IN by specialty
• Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.