| Shelby Nicole Drake, RD | |
|
727 W 2nd St, Bloomington, IN 47403-2209 | |
| (812) 353-5704 | |
| Not Available |
| Full Name | Shelby Nicole Drake |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 727 W 2nd St, Bloomington, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801422779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86036774 (Indiana) | Secondary |
| 133V00000X | Dietitian, Registered | 37003006A (Indiana) | Primary |
| Provider Name | Indiana University Health Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376586719 PECOS PAC ID: 2365350675 Enrollment ID: O20040407000695 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Nicole Drake, RD 2692 S Adams St Apt 3, Bloomington, IN 47403-4441 Ph: (260) 228-0214 | Shelby Nicole Drake, RD 727 W 2nd St, Bloomington, IN 47403-2209 Ph: (812) 353-5704 |
North Star Nutrition Counseling , Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 101 W Kirkwood Ave Ste 213, Bloomington, IN 47404 Phone: 123-180-4458 | |
Laurie M Eynon, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-353-9568 Fax: 812-353-9318 | |
Erin D Wilson, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-353-9568 Fax: 812-353-9318 | |
Chloe Torres, RD Dietitian Medicare: Medicare Enrolled Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-331-3406 | |
Kelly Lazzell, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 N Jordan Ave, Bloomington, IN 47405 Phone: 812-855-4011 | |
Hannah Vaughan, RD, IBCLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4101 E Morningside Dr, Bloomington, IN 47408 Phone: 812-272-1012 | |
L. Suzanne Hinton, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-353-9568 Fax: 812-353-9318 |