Shirley Anne Kadoura, REGISTERED DIETITIAN
NPI 1063736015ActiveIndividual· Dietitian, Registered· South Lyon, MI
Dietitian, Registered (REGISTERED DIETITIAN) in South Lyon, Michigan, licensed in MI, with an NPI issued in March 2010.
Overview
| NPI | 1063736015 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | REGISTERED DIETITIAN |
| Sole proprietor | Yes |
| NPI issued | Mar 19, 2010 |
| Last updated in NPPES | Mar 19, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 995455 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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