| Kelly Shaughnessy, RD BS | |
|
749 Teaberry St, Encinitas, CA 92024-3353 | |
| (661) 993-8710 | |
| Not Available |
| Full Name | Kelly Shaughnessy |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 749 Teaberry St, Encinitas, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528604113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1073135 (California) | Primary |
| Provider Name | Ilivewell Nutrition Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093150070 PECOS PAC ID: 5496186009 Enrollment ID: O20200515000498 |
| Provider Name | Nourish, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Shaughnessy, RD BS 3724 Jefferson St Ste 104, Austin, TX 78731-6204 Ph: (512) 693-7045 | Kelly Shaughnessy, RD BS 749 Teaberry St, Encinitas, CA 92024-3353 Ph: (661) 993-8710 |
Ruth Heidmann, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 948 Springwood Ln, Encinitas, CA 92024 Phone: 760-402-0935 | |
Miss Jennifer Elizabeth Mayer, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1553 Plumtree Dr, Encinitas, CA 92024 Phone: 760-803-6439 | |
Christian Torres, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 914 N Coast Highway 101, Encinitas, CA 92024 Phone: 818-624-1249 | |
Allison Richter, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 548 Ocean View Ave, Encinitas, CA 92024 Phone: 833-473-5474 Fax: 619-786-2212 | |
Katie Dawn Steadman, Dietitian Medicare: Medicare Enrolled Practice Location: 662 Encinitas Blvd Ste 204, Encinitas, CA 92024 Phone: 833-446-6969 | |
Jean Muller, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 332 Santa Fe Dr, Encinitas, CA 92024 Phone: 760-632-2323 | |
Grace Odegard Pascale, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2339 11th St, Encinitas, CA 92024 Phone: 425-736-9908 |