MS. KIMBERLY M SHACKELFORD (NPI# 1043877749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043877749 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY M SHACKELFORD |
| Credential | RD, LDN |
| Practice Address |
503 N 21st St Camp Hill PA 17011-2288 |
| Mailing Address |
1278 Stonehenge Dr York PA 17404-9186 |
| Practice Telephone | 7177632100 |
| Mailing Telephone | 7178806231 |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 722420 | PA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740770544 | Kimberly Shackelford | Counselor | 200 Casentini St, Salinas, CA 93907-2299 | 2018-05-16 |
| 1760733356 | Kimberly Larue Kwan Shackelford | Physical Therapist | 3601 Marconi Ave, Sacramento, CA 95821-5309 | 2012-09-24 |
| Street Address |
503 N 21ST ST |
| City | CAMP HILL |
| State | PA |
| Zip Code | 17011-2288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203294 | Janet F. Guisbert | Nurse Anesthetist, Certified Registered | 503 N 21st St, Camp Hill, PA 17011-2204 | 2005-05-31 |
| 1942808779 | Tyler Bartol | Pharmacist | 503 N 21st St, Camp Hill, PA 17011-2204 | 2020-10-14 |
| 1649894932 | Arne Sunyavivat Kotte | Physician Assistant | 503 N 21st St, Camp Hill, PA 17011-2288 | 2020-06-02 |
| 1780206219 | Elizabeth Pritchard | Registered Nurse | 503 N 21st St, Camp Hill, PA 17011-2204 | 2020-05-06 |
| 1235762535 | Naisha Jahna Stoney-wallace | Nurse Practitioner | 503 N 21st St, Camp Hill, PA 17011-2204 | 2020-02-15 |
| 1578194569 | Sara Clauto | Dietitian, Registered | 503 N 21st St, Camp Hill, PA 17011-2204 | 2020-01-29 |
| 1598301087 | Giovanni V Brancaleone | Physician Assistant | 503 N 21st St, Camp Hill, PA 17011-2204 | 2019-11-20 |
| 1689219404 | Rachel Brosius | Dietitian, Registered | 503 N 21st St, Camp Hill, PA 17011-2204 | 2019-11-15 |
| 1417592932 | Valerie Lynn Kubalak | Physician Assistant | 503 N 21st St, Camp Hill, PA 17011-2204 | 2019-11-07 |
| 1770133654 | Garrett Kyle Steiber | Physician Assistant | 503 N 21st St, Camp Hill, PA 17011-2204 | 2019-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790241628 | Harrisburg Home Care | Home Health | 1713 Hammel Road, R2, Harrisburg, PA 17011 | 2019-02-15 |
| 1427540269 | Eldercare Solutions LLC | Adult Companion | 1926 Market Street, Camp Hill, PA 17011 | 2018-06-06 |
| 1538680244 | Edward Joseph Hilton | Dentist | 3412 Trindle Road, Camp Hill, PA 17011 | 2017-07-03 |
| 1639609696 | Alicia Taylor Brustein | Physician Assistant | 425 North 21st Street, Suite 405, Camp Hill, PA 17011 | 2017-06-13 |
| 1285166843 | Betsy Earnest, Lpc, LLC | Counselor | 1509 Cedar Cliff Drive, Suite 4, Camp Hill, PA 17011 | 2017-03-31 |
| 1962852368 | Angela Antonia Debo | Family Medicine | 3025 Market Street, Entrance B, Camp Hill, PA 17011 | 2016-06-16 |
| 1033567839 | Timothy Zack Day | Physician Assistant | 897 Poplar Rd, Camp Hill, PA 17011 | 2016-06-02 |
| 1962864892 | Tracy Byra | Registered Nurse | 15 Scarsdale Drive, Camp Hill, PA 17011 | 2016-03-21 |
| 1245634138 | Charlotte Diane Hain | Psychologist | 781 Poplar Church Road, Camp Hill, PA 17011 | 2014-10-21 |
| 1205276805 | Isaac S Chiang | Optometrist | South 32nd Street & Trindle Rd, Camp Hill, PA 17011 | 2013-06-27 |
| Find all providers in zip 17011 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417593 | April Christine Hawkins | Dietitian, Registered | 408 Blacklatch Ln, Camp Hill, PA 17011-8414 | 2020-11-03 |
| 1760887749 | Diana Gallo | Dietitian, Registered | 152 Erford Rd Apt 304, Camp Hill, PA 17011-1810 | 2014-11-03 |
| 1619313376 | Alyson Heller | Dietitian, Registered | 108 Park Pl, Camp Hill, PA 17011 | 2013-05-21 |
| 1811142599 | Abigail Coleman | Dietitian, Registered | 20 Hillside Cir, Camp Hill, PA 17011-1818 | 2008-11-23 |
| 1790967750 | United Cerebral Palsy of Central Pennsylvania, Inc. | Dietitian, Registered | 925 Linda Ln, Camp Hill, PA 17011-6402 | 2007-12-03 |
| 1578194569 | Sara Clauto | Dietitian, Registered | 503 N 21st St, Camp Hill, PA 17011-2204 | 2020-01-29 |
| 1689219404 | Rachel Brosius | Dietitian, Registered | 503 N 21st St, Camp Hill, PA 17011-2204 | 2019-11-15 |
| 1801445911 | Gabrielle Marie Montana | Dietitian, Registered | 503 N 21st St, Camp Hill, PA 17011-2204 | 2019-09-11 |
| 1205490976 | Michelle Lane | Dietitian, Registered | 503 N 21st St, Camp Hill, PA 17011-2204 | 2019-04-27 |
| 1568926467 | Hillary Adams | Dietitian, Registered | 503 N 21st St, Camp Hill, PA 17011-2204 | 2019-01-24 |
| Find all providers in CAMP HILL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.