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Active NPI 1760168355 Individual Practitioner Female Practitioner

Shannon D Moats , RDN, LDN

Dietitian, Registered • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shannon Moats, RDN, LDN is a certified Dietitian, Registered practicing in Springfield, IL. With approximately 8 years of clinical experience since completing medical education in 2018, Shannon Moats delivers high-quality medical care to the local community at 1025 S 6TH ST.

Shannon Moats accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1025 S 6th St

Springfield, IL 627032403

Telephone 2175287541
Associated Practice Facility / Clinic
🏢 Springfield Clinic, Llp Facility NPI 1780638478

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Springfield, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -10.4 yrs vs City Avg
City Avg: 18.4 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
60 Specialists

Practicing in Springfield, IL (2895 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moats (8 Years) 8 Yrs
Springfield Specialty Average (18.4 Years) 18.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-11-10
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License IL 164.008428

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Kaitlin Henry , MD

Family Medicine

NPI 1003136276

Doctor of Medicine (M.D.)

Sydney Lynch

Physician Assistant - Surgical

NPI 1003404864
Jeremy Elliott

Nurse Practitioner - Family

NPI 1003416546
Jessica Lee , APN

Nurse Practitioner - Family

NPI 1003461831

Advanced Practice Nurse

Julie Hart , PA-C

Physician Assistant

NPI 1003867342

Physician Assistant (Certified)

NPI 1003900739

Licensed Clinical Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated November 10, 2025

Recorded as SHANNON MOATS, RDN, LDN

👤
Provider Name / Credentials Updated October 23, 2025

Recorded as SHANNON MOAT, RDN, LDN

NPI Profile Active June 27, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 27, 2023

Registered at 1025 S 6TH ST, SPRINGFIELD, IL 627032403 (Tel: 2175287541)

📍
Updated Business Mailing Address June 27, 2023

Registered at PO BOX 19248, SPRINGFIELD, IL 627949248 (Tel: 2175287541)

👤
Provider Name / Credentials Updated June 27, 2023

Recorded as SHANNON GRAY, RDN, LDN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2023

Dietitian, Registered (License #164.008428 in IL)

🟢
Initial NPI Registration & Enumeration June 27, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760168355
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2023
Last Update: November 10, 2025
Sole Proprietor: No

Mailing Address

Po Box 19248

Springfield, IL 627949248

Phone: 2175287541

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.