LAURA SHORES (NPI# 1134654213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134654213 |
| Entity Type | Individual |
| Full Name | LAURA SHORES |
| Credential | RD, LD |
| Practice Address |
705 Highway 63 N Hazen AR 72064 |
| Mailing Address |
Po Box 497 Augusta AR 72006-0497 |
| Practice Telephone | 8702553696 |
| Practice Fax Number | 8702554061 |
| Mailing Telephone | 8703472534 |
| Mailing Fax Number | 8703472023 |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2018-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1331 | AR | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3950 Highway 316 S, Poplar Grove, AR 723749520 | 8709953037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003042557 | Laura Thornton Shores | Speech-Language Pathologist | 7901 Poplar Avenue, Germantown, TN 38138-6005 | 2009-06-10 |
| 1437192846 | Laura Shores | Specialist | 508 Gordon Ave, Thomasville, GA 31792-6646 | 2006-06-14 |
| Street Address |
705 HIGHWAY 63 N |
| City | HAZEN |
| State | AR |
| Zip Code | 72064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639689763 | John M Morris | Nurse Practitioner | 705 Highway 63 N, Hazen, AR 72064-8054 | 2017-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942785381 | Haley Hill Ligon | Nurse Practitioner | 102 W. Front Street, Hazen, AR 72064 | 2018-10-02 |
| 1467643783 | Amanda G Owens | Social Worker | 109 N Hazen Ave, Hazen, AR 72064 | 2007-08-05 |
| 1528265295 | Baptist Health Hospitals | Clinic/Center | 201 S Livermore St, Hazen, AR 72064 | 2007-06-27 |
| 1922194463 | Cherie Spence Dulany | Psychologist | 109 North Hazen Avenue, Hazen, AR 72064 | 2006-10-04 |
| 1477688463 | J&b Kelly, Inc | Pharmacy | 158 South Livermore St, Hazen, AR 72064-0507 | 2007-02-22 |
| 1396706099 | Arcare | Clinic/Center | 705 Hwy 63, Hazen, AR 72064-8054 | 2006-03-31 |
| 1265583819 | Hazen School District | Local Education Agency (LEA) | 477 N Hazen Ave, Hazen, AR 72064-8072 | 2007-01-12 |
| 1497993398 | United Methodist Behavioral Health Systems, Inc | Counselor | 477 N Hazen Ave, Hazen, AR 72064-8072 | 2009-01-30 |
| 1376892687 | Suzanne Cothran | Registered Nurse | 92 S Maple St, Hazen, AR 72064-8203 | 2012-08-31 |
| 1023084225 | Spring Brook Health & Rehab Center, LLC | Skilled Nursing Facility | 92 Maple St, Hazen, AR 72064-8203 | 2006-02-27 |
| Find all providers in zip 72064 | ||||
| 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 |
|---|---|---|---|---|
| 1386267748 | Allison Kreimeier | Dietitian, Registered | 8713 Melkovitz Rd, Hazen, AR 72064-9585 | 2020-05-20 |
| 1770063166 | Dawn K Ziegler | Dietitian, Registered | 1017 1st Ave Nw, Hazen, ND 58545-4821 | 2018-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475805 | Arkansas Health Group | Dietitian, Registered | 10915 Rodney Parham Road, Suite G, Little Rock, AR 72212 | 2020-10-20 |
| 1639776883 | Gail Lange-smith | Dietitian, Registered | 805 Beechwood St Apt 3, Little Rock, AR 72205-1974 | 2020-10-01 |
| 1760099238 | Emily Keeling | Dietitian, Registered | 1238 N Vista Pl, Fayetteville, AR 72703-1352 | 2020-09-28 |
| 1033726922 | Alicia Landry | Dietitian, Registered | 201 Donaghey Ave, Mcalister 100, Conway, AR 72035 | 2020-09-25 |
| 1568076792 | Sarah Keathley | Dietitian, Registered | 30 Sugar Creek Rd, North Little Rock, AR 72116-6332 | 2020-09-04 |
| 1003427873 | Midsouth Transitions Arkansas Pa | Dietitian, Registered | 6010 Trinity Hts, Texarkana, AR 71854-8318 | 2020-08-13 |
| 1427679075 | Christina Kilton | Dietitian, Registered | 13400 Abinger Dr, Little Rock, AR 72212-3704 | 2020-05-05 |
| 1801417696 | Sarah Elizabeth Johnston | Dietitian, Registered | 306 Kimsey Loop, Malvern, AR 72104-8678 | 2020-05-03 |
| 1407476245 | Brooke Ann Erickson | Dietitian, Registered | 3719 Lakeshore Dr, North Little Rock, AR 72116-9032 | 2020-04-22 |
| 1225663834 | Lauresa Larson | Dietitian, Registered | 218 Blake Dr, Centerton, AR 72719-9703 | 2020-03-04 |
| Find all providers with the same taxonomy | ||||
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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.