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MISS CAROL JEAN SHOULDERS RD CDE LD NPI 1841287182


NPI Information

NPI: 1841287182
Provider Name: MISS CAROL JEAN SHOULDERS, RD CDE LD
Classification: Dietitian, Registered - 133V00000X
Entity Type: Individual
Address:
US HWY 491 NORTH
SHIPROCK, NM
ZIP 87420
Phone: (505) 968-6020
Get Directions

MISS Carol Jean Shoulders, RD CDE LD is a dietitian registered in Shiprock, NM. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. MISS Carol Jean Shoulders, RD CDE LD NPI is 1841287182. 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:

US HWY 491 NORTH
SHIPROCK, NM
ZIP 87420
Phone: (505) 968-6020
Fax: (505) 368-6481

The enumeration date for this NPI number is 10/3/2005 and was last updated on 7/8/2007.


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
1133V00000XDietitian, Registered505NEW MEXICOYes
2163WD0400XRegistered NurseDiabetes Educator09315463NEW MEXICOX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P59966MEDICARE UPIN
217125758MEDICAIDMASSACHUSETTS
38HZ479MEDICARE ID-TYPE UNSPECIFIED
48HZL98MEDICARE ID-TYPE UNSPECIFIEDNEW MEXICO

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: 5/5/2024

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