Active NPI
Callie Althea Shaw, MS, RDN, LD
- Registered Dietitian
- Alamogordo, NM
National Provider Identifier
1780226795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD-1327
- Practice address
- 2669 Scenic Dr
Alamogordo, NM 88310-8700 - Phone
- (575) 443-7451
- Fax
- (575) 443-7458
- NPI assigned
- Oct 10, 2019
- 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 | LD-1327 | NM | Primary |
Addresses
Primary practice location
2669 Scenic Dr
Alamogordo, NM 88310-8700
Mailing address
301 N Roadrunner Pkwy Apt 801
Las Cruces, NM 88011-9054
Phone (724) 464-7721
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD-1327 | NM | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570665600000",
"number": "1780226795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 N ROADRUNNER PKWY APT 801",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880119054",
"telephone_number": "724-464-7721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2669 SCENIC DR",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883108700",
"telephone_number": "575-443-7451",
"fax_number": "575-443-7458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "CALLIE",
"middle_name": "ALTHEA",
"credential": "MS, RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-10",
"last_updated": "2019-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NM",
"license": "LD-1327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alamogordo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.