Active NPI
Shawn Patrick James, MS, RD, LD
- Registered Dietitian
- Pittsburg, KS
National Provider Identifier
1770127110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2430
- Practice address
- 3011 N Michigan St
Pittsburg, KS 66762-2546 - Phone
- (888) 777-9170
- NPI assigned
- Oct 29, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 2430 | KS | Primary |
Addresses
Primary practice location
3011 N Michigan St
Pittsburg, KS 66762-2546
Mailing address
PO Box 1832
Pittsburg, KS 66762-1832
Phone (888) 777-9170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2430 | KS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Southeast Kansas Inc | Current | Accepting new patients | |
| Community Health Center of Southeast Kansas Inc | Current | Accepting new patients | |
| Community Health Center of Southeast Kansas, Inc | Past | Accepting new patients |
Locations
2322 S Main St
Fort Scott, KS 66701
Phone (620) 223-0135
1017 E Market St
Lacygne, KS 66040
Phone (913) 757-4575
3011 N Michigan St
Pittsburg, KS 66762
Phone (620) 231-1960
1 Mt Carmel Way
Pittsburg, KS 66762
Phone (620) 231-6100
Interoperability endpoints
- shawn.james@chcsek.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Pittsburg, KS
- NPI 1669474425
-
- Federally Qualified Health Center (FQHC)
- Baxter Springs, KS
- NPI 1487351086
-
- Federally Qualified Health Center (FQHC)
- Pittsburg, KS
- NPI 1174525943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1770127110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1832",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667621832",
"telephone_number": "888-777-9170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3011 N MICHIGAN ST",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667622546",
"telephone_number": "888-777-9170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "SHAWN",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "MS, RD, LD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-29",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "2430",
"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 Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.