Mrs Kristen Nicole Shores, RDN in Little Rock, AR - Medicare Dietitian, Registered Provider

Mrs Kristen Nicole Shores, RDN is a medicare enrolled "Dietitian, Registered" provider in Little Rock, Arkansas. Her current practice location is 10915 N Rodney Parham Rd Ste G, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 202-2001.

Mrs Kristen Nicole Shores is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1720605900.

Contact Information

	Mrs Kristen Nicole Shores, RDN
	10915 N Rodney Parham Rd Ste G, Little Rock, AR 72212-4114
	(501) 202-2001
	(501) 202-4299

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kristen Nicole Shores
Gender	Female
Speciality	Dietitian, Registered
Location	10915 N Rodney Parham Rd Ste G, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720605900
Provider Enumeration Date: 07/03/2020
Last Update Date: 01/05/2022

Medicare PECOS Information:

PECOS PAC ID: 0345632899
Enrollment ID: I20220113002094

Medical Identifiers

Medical identifiers for Mrs Kristen Nicole Shores such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720605900	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kristen Nicole Shores allows following entities to bill medicare on her behalf.

Provider Name	Arkansas Health Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1609475805 PECOS PAC ID: 7911802079 Enrollment ID: O20210127001698

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kristen Nicole Shores is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Kristen Nicole Shores, RDN 11001 Executive Center Dr Ste 200, Little Rock, AR 72211-4393 Ph: (501) 812-7215	Mrs Kristen Nicole Shores, RDN 10915 N Rodney Parham Rd Ste G, Little Rock, AR 72212-4114 Ph: (501) 202-2001

Reviews and Comments

Dietitian, Registered in Little Rock, AR

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Cathryn Rene Woods, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4300 W 7th St, 120/lr, Little Rock, AR 72205 Phone: 502-257-6760
Mrs. Courtney Byrum, MS, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 4 Shackleford Plz Ste 209, Little Rock, AR 72211 Phone: 501-779-8327 Fax: 501-500-5750

Mrs Kristen Nicole Shores, RDN - Medicare Dietitian in Little Rock, AR