Shirley Lucille Powell in Redding - Dietitian, Registered

Shirley Lucille Powell - NPI 1134222169

Shirley Lucille Powell is a Dietitian, Registered in Redding, California. Shirley Lucille Powell practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Shirley Lucille Powell is 1134222169. The last update date is 2023-03-07.

Shirley Lucille Powell's current location address is 2510 Airpark Dr Ste 104, Redding, California. You can contact this provider via phone number 5302423570 and fax number 5302423572. The mailing address for Shirley Lucille Powell is 2510 Airpark Dr Ste 104, Redding, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Shirley Lucille Powell
Address 2510 Airpark Dr Ste 104, Redding, California
Phone Number 5302423570
Fax Number 5302423572
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1134222169
Provider Enumeration Date 2006-09-06
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 2510 Airpark Dr Ste 104
City Redding
State California (CA)
Post Code 960012461
Phone Number 5302423570
Fax Number 5302423572

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 672043
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9315405 CERTIFIED DIABETES EDUCAT
16701 CA PHYSICIAN ASSISTANT
672043 REGISTERED DIETITIAN

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FAQs about Shirley Lucille Powell

What is the Shirley Lucille Powell's unique identification number?

The Shirley Lucille Powell has been assigned the NPI (National Provider Identifier) Number 1134222169 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Shirley Lucille Powell is physically located?

The Shirley Lucille Powell is physically situated at the following address: 2510 Airpark Dr Ste 104, Redding, CA, 960012461.

What is the area of specialization for Shirley Lucille Powell, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Shirley Lucille Powell is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of expertise is 133V00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1134222169 to Shirley Lucille Powell?

The Shirley Lucille Powell received its 1134222169 assignment from the Centers for Medicare & Medicaid Services on 2006-09-06.

As of what date was the information regarding Shirley Lucille Powell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Shirley Lucille Powell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-07.

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