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Deactivated NPI 1487971339 Deactivated / Inactive NPI Female Practitioner

Tracey Lynn Shaffer , RD

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, Tracey Shaffer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 30, 2010
NPI Deactivation Date May 13, 2013
Total Practice Duration ~3 Years of Practice (2010 – 2013)

Professional Overview & Biography Verified Profile Summary

Tracey Shaffer, RD was a registered Dietitian, Registered practicing in Lees Summit, MO. Throughout an active medical career spanning 3 years, Tracey Shaffer provided care at the practice location at 4009 NE GRANT ST until profile deactivation on 2013-05-13.

Practice Location & Contact Primary Location

Practice Address

4009 Ne Grant St

Lees Summit, MO 640647884

Telephone 8162267667
Associated Practice Facility / Clinic

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

CMS Verified: 2026-02-24
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License MO 2007003698

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.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License WI 6059-29

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.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License WA DI61281597

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.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License MD DX5577

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.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License OH 09740

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.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License TX DT87459

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.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License OR 10220695

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.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License OK 2710

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

18 Historical Events
📍
Updated Practice Location February 24, 2026

Registered at 4009 NE GRANT ST, LEES SUMMIT, MO 640647884 (Tel: 8162267667)

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Updated Business Mailing Address May 05, 2025

Registered at PO BOX 830242, PHILADELPHIA, PA 191820242 (Tel: 6154254200)

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Updated Practice Location May 05, 2025

Registered at 1014 VINE ST, CINCINNATI, OH 452021141 (Tel: 8556996937)

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2025

Dietitian, Registered (License #10220695 in OR)

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Updated Practice Location June 11, 2024

Registered at 114 SE DOUGLAS ST UNIT 150, LEES SUMMIT, MO 640633193 (Tel: 5025304812)

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2024

Dietitian, Registered (License #DI61281597 in WA)

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Updated Practice Location March 08, 2022

Registered at 555 RACE ST, CINCINNATI, OH 452022347 (Tel: 8556996937)

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Updated Business Mailing Address March 08, 2022

Registered at 2620 ELM HILL PIKE, NASHVILLE, TN 372143108 (Tel: 6154254200)

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2022

Dietitian, Registered (License #10220695 in OR)

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Updated Practice Location October 07, 2021

Registered at 30107 E ARGO RD, GRAIN VALLEY, MO 640299480 (Tel: 8165826875)

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Updated Business Mailing Address October 07, 2021

Registered at 30107 E ARGO RD, GRAIN VALLEY, MO 640299480 (Tel: 8165826875)

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NPI Profile Reactivated June 14, 2013

Record officially reactivated for active practice on June 14, 2013

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Updated Practice Location June 14, 2013

Registered at 601 SW US HIGHWAY 40, BLUE SPRINGS, MO 640143232 (Tel: 8162244288)

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Updated Business Mailing Address June 14, 2013

Registered at 601 SW US HIGHWAY 40, BLUE SPRINGS, MO 640143232 (Tel: 8162244288)

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Provider Name / Credentials Updated June 14, 2013

Recorded as TRACEY SHAFFER, R.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2013

Dietitian, Registered (License #2007003698 in MO)

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NPI Profile Deactivated May 13, 2013

Record deactivated on May 13, 2013

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Initial NPI Registration & Enumeration April 30, 2010

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: 1487971339
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 30, 2010
Last Update: February 24, 2026
Deactivation Date: May 13, 2013
Sole Proprietor: Yes

Mailing Address

Po Box 830242

Philadelphia, PA 191820242

Phone: 6154254200

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.