Shelby Hirschman, RD, LDN

Individual provider Active NPI Registered Dietitian · Affton, MO

NPI 1801545272 · NPPES record last updated Mar 22, 2022

Key facts

NPI
1801545272
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
86088033 (MO)
Practice address
6400 Heege Rd
Affton, MO 63123-2642
Phone
(573) 606-9850
NPI assigned
Mar 22, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
86088033MOMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Good Body Nutrition, LLC Dietitian, Registered Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86088033 MO Yes

Addresses

Primary practice location

6400 Heege Rd
Affton, MO 63123-2642

Mailing address

6400 Heege Rd
Affton, MO 63123-2642
Phone (573) 606-9850

Other providers in Affton, MO

All providers in Affton, MO · Registered Dietitian in Missouri

Sources for this page

Verify at the official NPI Registry.