Mrs Anouk Danielle Shelton, MBA, RD, LD, CNSC | |
300 S Saint Louis Blvd, South Bend, IN 46617-3043 | |
(574) 301-5205 | |
(574) 301-5205 |
Full Name | Mrs Anouk Danielle Shelton |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 300 S Saint Louis Blvd, South Bend, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619644960 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 37003364A (Indiana) | Primary |
Provider Name | Elkhart General Hospital Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477551489 PECOS PAC ID: 4688571169 Enrollment ID: O20031213000004 |
Provider Name | Michiana Nutrition And Diabetes Education Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619604410 PECOS PAC ID: 4789052440 Enrollment ID: O20221130002117 |
Mailing Address | Practice Location Address |
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Mrs Anouk Danielle Shelton, MBA, RD, LD, CNSC 16151 Petro Dr, Mishawaka, IN 46544-6422 Ph: (815) 342-6205 | Mrs Anouk Danielle Shelton, MBA, RD, LD, CNSC 300 S Saint Louis Blvd, South Bend, IN 46617-3043 Ph: (574) 301-5205 |
Jessica A Heckman, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9331 Fax: 574-237-9252 | |
Mrs. Nancy Ann Taghon, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-6351 | |
Martha Leah Magliola, R.D.,C.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-7335 | |
Mrs. Amy Elizabeth Branch, RD Dietitian Medicare: Medicare Enrolled Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 317-944-3500 Fax: 317-962-2474 | |
Kara K. Rowe, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9331 Fax: 574-237-9252 | |
Kathleen K. Gattman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9331 Fax: 574-239-9383 | |
Kaitlin Wiley, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-6353 |