KATHERINE ELISE SHAMOON


Address: 1500 Cooper St, Fort Worth, TX 76104-2710
Phone: 6828851992

KATHERINE ELISE SHAMOON (NPI# 1528535309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528535309
Entity Type Individual
Full Name KATHERINE ELISE SHAMOON
Credential RD, LD
Practice Address 1500 Cooper St
Fort Worth
TX 76104-2710
Mailing Address Po Box 733784
Dallas
TX 75373-3784
Practice Telephone 6828851992
Mailing Telephone 6828851860
Mailing Fax Number 6828851396
Enumeration Date 2018-10-30
Last Update Date 2018-10-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1004X Dietitian, Registered
Specialization: Nutrition, Pediatric
TX Dietary & Nutritional Service Providers

Office Location

Street Address 1500 COOPER ST
City FORT WORTH
State TX
Zip Code 76104-2710

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497747653 Luciana Rochetti Physician Assistant 1500 Cooper St, Fort Worth, TX 76104-2710 2005-08-15
1821696493 Leekelli Kennedy Dietitian, Registered 1500 Cooper St, Fort Worth, TX 76104-2710 2020-10-15
1871109124 Caitlyn R Praytor Nurse Practitioner 1500 Cooper St, Fort Worth, TX 76104-2710 2020-09-22
1497389126 Chelsea Barrow Dietitian, Registered 1500 Cooper St, Fort Worth, TX 76104-2710 2020-03-03
1386281871 Emily Susan Larkin Nurse Practitioner 1500 Cooper St, Fort Worth, TX 76104-2710 2019-12-04
1508416629 Christa Standefer Family Medicine 1500 Cooper St, Fort Worth, TX 76104-2710 2019-09-19
1972153112 Alexis Courtney Dietitian, Registered 1500 Cooper St, Fort Worth, TX 76104-2710 2019-09-19
1366099376 Haley Tullos Dietitian, Registered 1500 Cooper St, Fort Worth, TX 76104-2710 2019-08-23
1538716139 Amanda Rae Macdonald Dietitian, Registered 1500 Cooper St, Fort Worth, TX 76104-2710 2019-08-20
1730731498 Erin Walkley Dietitian, Registered 1500 Cooper St, Fort Worth, TX 76104-2710 2019-07-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
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Taxonomy Information

Taxonomy Code 133VN1004X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Pediatric

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821696493 Leekelli Kennedy Dietitian, Registered 1500 Cooper St, Fort Worth, TX 76104-2710 2020-10-15
1497389126 Chelsea Barrow Dietitian, Registered 1500 Cooper St, Fort Worth, TX 76104-2710 2020-03-03
1689217432 Claire Koskie Dietitian, Registered 801 7th Ave, Fort Worth, TX 76104-2733 2019-10-24
1972153112 Alexis Courtney Dietitian, Registered 1500 Cooper St, Fort Worth, TX 76104-2710 2019-09-19
1366099376 Haley Tullos Dietitian, Registered 1500 Cooper St, Fort Worth, TX 76104-2710 2019-08-23
1538716139 Amanda Rae Macdonald Dietitian, Registered 1500 Cooper St, Fort Worth, TX 76104-2710 2019-08-20
1730731498 Erin Walkley Dietitian, Registered 1500 Cooper St, Fort Worth, TX 76104-2710 2019-07-12
1336701986 Adyson Lacy Mitchell Dietitian, Registered 1500 Cooper St, Fort Worth, TX 76104-2710 2019-07-03
1588122519 Katherine Yost Dietitian, Registered 1500 Cooper St, Fort Worth, TX 76104-2710 2019-03-08
1467920876 Courtney Nordhus Dietitian, Registered 1500 Cooper St, Fort Worth, TX 76104-2710 2018-11-05
Find all providers in FORT WORTH

Competitor

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City FORT WORTH
Zip Code 76104

Improve Information

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Dataset Information

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.

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