JESSICA RAE SHAW MS RD LD NPI 1174805147

NPI Information

  • NPI: 1174805147
  • Provider Name: JESSICA RAE SHAW, MS, RD, LD
  • Classification: Dietitian, Registered - 133VN1006X
  • Specialization: Nutrition, Metabolic
  • Entity Type: Individual
  • Address: 1000 N LINCOLN AVE
    SUTIE 2900
    OKLAHOMA CITY, OK
    ZIP 73104
  • Phone: (405) 271-3652

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NPI Details

Jessica Rae Shaw, MS, RD, LD is a nutrition and metabolic dietitian registered in Oklahoma City, OK. The provider is a registered dietitian who achieves specialized competency in metabolic nutrition. Jessica Rae Shaw, MS, RD, LD NPI is 1174805147. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1000 N LINCOLN AVE
SUTIE 2900
OKLAHOMA CITY, OK
ZIP 73104
Phone: (405) 271-3652
Fax: (405) 271-7522

The enumeration date for this NPI number is 9/15/2011 and was last updated on 4/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133VN1006XDietitian, RegisteredNutrition, Metabolic1644OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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