SHELBY PIERCEALL (NPI# 1700328994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700328994 |
| Entity Type | Individual |
| Full Name | SHELBY PIERCEALL |
| Credential | RD |
| Practice Address |
1500 Museum Rd Conway AR 72032-4785 |
| Mailing Address |
Po Box 497 Augusta AR 72006-0497 |
| Practice Telephone | 5019329010 |
| Practice Fax Number | 8705693579 |
| Mailing Telephone | 8703472534 |
| Mailing Fax Number | 8703473492 |
| Enumeration Date | 2016-11-05 |
| Last Update Date | 2019-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1623 | AR | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5025 Longwall Dr Apt 1, Conway, AR 720349217 | 5019126796 |
| Street Address |
1500 MUSEUM RD |
| City | CONWAY |
| State | AR |
| Zip Code | 72032-4785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659331072 | Ann Sharon Meador | General Practice | 1500 Museum Rd, Conway, AR 72032-4785 | 2006-03-28 |
| 1841760675 | Joshua Walter | Counselor | 1500 Museum Rd, Conway, AR 72032-4785 | 2018-12-05 |
| 1821568916 | Caroline Mcgee | Social Worker | 1500 Museum Rd, Conway, AR 72032-4785 | 2018-11-30 |
| 1053810101 | Krystal N. Riley | Nurse Practitioner | 1500 Museum Rd, Conway, AR 72032-4785 | 2018-02-05 |
| 1326571159 | Carol Hughes | Nurse Practitioner | 1500 Museum Rd, Conway, AR 72032-4785 | 2017-04-08 |
| 1194277673 | Anna Hall | Dietitian, Registered | 1500 Museum Rd, Suite 104, Conway, AR 72032-4785 | 2016-10-31 |
| 1942660709 | Amanda Keesaer | Nurse Practitioner | 1500 Museum Rd, Conway, AR 72032-4785 | 2016-03-07 |
| 1609247352 | Hayley Manus | Dietitian, Registered | 1500 Museum Rd, Conway, AR 72032-4785 | 2015-10-07 |
| 1295001600 | Brandye Bisek | Registered Nurse | 1500 Museum Rd, Suite 104, Conway, AR 72032-4785 | 2012-03-29 |
| 1457678054 | Jo E. Greenhill | Nurse Practitioner | 1500 Museum Rd, Conway, AR 72032 | 2010-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| 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 |
|---|---|---|---|---|
| 1033726922 | Alicia Landry | Dietitian, Registered | 201 Donaghey Ave, Mcalister 100, Conway, AR 72035 | 2020-09-25 |
| 1083116941 | Whitney Marie Holland | Dietitian, Registered | 3475 Malvern Hill Rd, Conway, AR 72032-9163 | 2018-03-06 |
| 1104204270 | Erick Keith Mccarthy | Dietitian, Registered | 18 Water Oak Dr, Conway, AR 72034-3430 | 2015-05-11 |
| 1154627800 | Charity Ashworth | Dietitian, Registered | 700 Salem Rd, Conway, AR 72034-4818 | 2011-01-28 |
| 1760705222 | Alane Scheider | Dietitian, Registered | 500 Hiland Ave, Conway, PA 15027-1464 | 2010-03-11 |
| 1013240928 | Janet A Dance | Dietitian, Registered | 2125 Desha Dr, Conway, AR 72034-7394 | 2009-09-09 |
| 1528209558 | Nina L. Roofe | Dietitian, Registered | 12 Sarah Ln, Conway, AR 72032-9049 | 2009-03-21 |
| 1144244302 | Karen Nichole Thompson | Dietitian, Registered | 2125 College Avenue, Conway, AR 72034 | 2006-07-27 |
| 1366059560 | Lori Jean Dather | Dietitian, Registered | 603 Harkrider St, Conway, AR 72032-5633 | 2020-09-30 |
| 1720605900 | Kristen Nicole Shores | Dietitian, Registered | 150 E Siebenmorgen Rd, Conway, AR 72032-4000 | 2020-07-03 |
| Find all providers in CONWAY | ||||
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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.