| Shanna K Carr, LICENSED DIETICIAN | |
|
225 Physicians Park Ste 304, Poplar Bluff, MO 63901-3930 | |
| (573) 727-5500 | |
| (573) 399-2646 |
| Full Name | Shanna K Carr |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 33 Years |
| Location | 225 Physicians Park Ste 304, Poplar Bluff, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386730232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 2001000001 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Francis Medical Center | 9931007929 | 438 |
| Big Springs Medical Association | 6709871007 | 50 |
| Provider Name | Saint Francis Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356304489 PECOS PAC ID: 9931007929 Enrollment ID: O20040107000140 |
| Mailing Address | Practice Location Address |
|---|---|
| Shanna K Carr, LICENSED DIETICIAN 110 S 2nd St, Ellington, MO 63638-9400 Ph: (573) 663-2313 | Shanna K Carr, LICENSED DIETICIAN 225 Physicians Park Ste 304, Poplar Bluff, MO 63901-3930 Ph: (573) 727-5500 |
Rebecca Baker, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-686-4151 | |
Daleena Kirkman, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-686-4151 | |
Mrs. Shari Eads, RD LD IBCLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-686-4151 | |
Heather Hunt Nagy, MS, RD, LD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3098 Oak Grove Road, Regional Physician Specialists: Bariatric Surgery, Poplar Bluff, MO 63901 Phone: 573-776-9911 Fax: 573-776-9913 | |
Mrs. Gwen Catherine Shipley, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-686-5993 | |
Mrs. Brianne Riggins, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-778-4644 |