Shannon Rae Beattie in Kansas City - Nutrition, Pediatric

Shannon Rae Beattie - NPI 1255595997

Shannon Rae Beattie is a Nutrition, Pediatric in Kansas City, Missouri. Shannon Rae Beattie practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Shannon Rae Beattie is 1255595997. The last update date is 2008-07-11.

Shannon Rae Beattie's current location address is 2401 Gillham Rd, Kansas City, Missouri. You can contact this provider via phone number 8162341598 and fax number 8168551986. The mailing address for Shannon Rae Beattie is 2401 Gillham Rd, Kansas City, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Shannon Rae Beattie
Address 2401 Gillham Rd, Kansas City, Missouri
Phone Number 8162341598
Fax Number 8168551986
Sole Proprietor Y
Credentials MS, RD, LD

NPI Number Detail

NPI Number 1255595997
Provider Enumeration Date 2008-07-11
Last Updated Date 2008-07-11

Provider Mailing Address Detail

Address 2401 Gillham Rd
City Kansas City
State Missouri (MO)
Post Code 641084619
Phone Number 8162341598
Fax Number 8168551986

Provider's Primary Taxonomy Detail

Speciality Nutrition, Pediatric
Taxonomy 133Vn1004X
Licence No 2001022037
Definition:
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn

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FAQs about Shannon Rae Beattie

What is the unique 10-digit identifier code assigned to Shannon Rae Beattie by the Centers for Medicare & Medicaid Services?

The Shannon Rae Beattie has been issued the NPI (National Provider Identifier) 1255595997 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Shannon Rae Beattie is physically located?

The Shannon Rae Beattie is physically situated at the following address: 2401 Gillham Rd, Kansas City, MO, 641084619.

What is Shannon Rae Beattie's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Shannon Rae Beattie is Nutrition, Pediatric, and the taxonomy classification code that categorizes this area of expertise is 133Vn1004X.

On what date was the 1255595997 assigned to Shannon Rae Beattie?

The Shannon Rae Beattie was issued its 1255595997 on 2008-07-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Shannon Rae Beattie most recently updated or revised?

The details related to Shannon Rae Beattie, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-11.

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