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Deactivated NPI 1407453392 Deactivated / Inactive NPI Female Practitioner

Susan Shaffer , RD, LD

Dietitian, Registered • Lees Summit, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Susan Shaffer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 05, 2020
NPI Deactivation Date May 02, 2021
Total Practice Duration ~1 Years of Practice (2020 – 2021)

Professional Overview & Biography Verified Profile Summary

Susan Shaffer, RD, LD was a registered Dietitian, Registered practicing in Lees Summit, MO. Throughout an active medical career spanning 1 years, Susan Shaffer provided care at the practice location at 4213 SW SAPELO DR until profile deactivation on 2021-05-02.

Practice Location & Contact Primary Location

Practice Address

4213 Sw Sapelo Dr

Lees Summit, MO 640825016

Telephone 8163139455

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Lees Summit, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
25 Specialists

Practicing in Lees Summit, MO (1384 Statewide)

Telehealth Adoption Rate
4.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License MO 2016015257

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 02, 2021

Record deactivated on May 02, 2021

NPI Profile Active October 05, 2020

NPI status registered as active in NPPES database

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Updated Practice Location October 05, 2020

Registered at 4213 SW SAPELO DR, LEES SUMMIT, MO 640825016 (Tel: 8163139455)

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Updated Business Mailing Address October 05, 2020

Registered at 4213 SW SAPELO DR, LEES SUMMIT, MO 640825016 (Tel: 8163139455)

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Provider Name / Credentials Updated October 05, 2020

Recorded as SUSAN SHAFFER, RD, LD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2020

Dietitian, Registered (License #2016015257 in MO)

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Initial NPI Registration & Enumeration October 05, 2020

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: 1407453392
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2020
Last Update: October 05, 2020
Deactivation Date: May 02, 2021

Mailing Address

4213 Sw Sapelo Dr

Lees Summit, MO 640825016

Phone: 8163139455

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.