Active NPI
Reshaunda D Thornton, R.D.
- Registered Dietitian
- Saint Louis, MO
National Provider Identifier
1932543543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2013011736
- Practice address
- 2121 Hammer Dr
Saint Louis, MO 63146-3587 - Phone
- (314) 567-3797
- Fax
- (314) 994-7213
- NPI assigned
- Apr 25, 2013
- 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 | 2013011736 | MO | Primary |
Addresses
Primary practice location
2121 Hammer Dr
Saint Louis, MO 63146-3587
Mailing address
2121 Hammer Dr
Saint Louis, MO 63146-3587
Phone (314) 567-3797
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013011736 | MO | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hammerbodies Custom Fitness | Dietitian, Registered | Past | Accepting new patients |
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.
-
- Registered Dietitian
- Saint Louis, MO
- NPI 1043654650
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366848000000",
"number": "1932543543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 HAMMER DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631463587",
"telephone_number": "314-567-3797",
"fax_number": "314-994-7213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 HAMMER DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631463587",
"telephone_number": "314-567-3797",
"fax_number": "314-994-7213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON",
"first_name": "RESHAUNDA",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-25",
"last_updated": "2013-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2013011736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.