Tracey Lynn Shaffer, RD | |
114 Se Douglas St Unit 150, Lees Summit, MO 64063-3193 | |
(502) 530-4812 | |
Not Available |
Full Name | Tracey Lynn Shaffer |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 114 Se Douglas St Unit 150, Lees Summit, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1487971339 | NPI | - | NPPES |
Provider Name | The Kroger Co |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588325153 PECOS PAC ID: 6103738653 Enrollment ID: O20220804003646 |
Mailing Address | Practice Location Address |
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Tracey Lynn Shaffer, RD 2620 Elm Hill Pike, Nashville, TN 37214-3108 Ph: (615) 425-4200 | Tracey Lynn Shaffer, RD 114 Se Douglas St Unit 150, Lees Summit, MO 64063-3193 Ph: (502) 530-4812 |
Carolyn Skelton, MS, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 1800 Nw Shamrock Ct, Lees Summit, MO 64081 Phone: 816-914-6288 Fax: 877-731-3326 | |
Wellness 4 Prevention, Llc Dietitian Medicare: Medicare Enrolled Practice Location: 1800 Nw Shamrock Ct, Lees Summit, MO 64081 Phone: 816-425-3220 Fax: 877-731-3326 | |
Quincy Emma Swanson, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2017 Ne Todd George Rd, Lees Summit, MO 64086 Phone: 630-673-8618 | |
Lauren Elizabeth Grant, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086 Phone: 816-347-5000 | |
Dr. Lydia Kaume, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 200 Ne Missouri Rd, Lees Summit, MO 64086 Phone: 479-283-8185 | |
Lindsay Nelson, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 312 Sw Greenwich Dr Ste 704, Lees Summit, MO 64082 Phone: 816-866-3756 Fax: 816-792-1429 | |
Mrs. Janine Marie Lewis, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086 Phone: 816-347-5197 |