Tracey Lynn Shaffer, R.D.
NPI 1487971339ActiveIndividual· Dietitian, Registered· Lees Summit, MO
Dietitian, Registered (R.D.) in Lees Summit, Missouri, licensed in MO, OR, WI and WA and other states, with an NPI issued in April 2010.
Overview
| NPI | 1487971339 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | R.D. |
| Sole proprietor | Yes |
| NPI issued | Apr 30, 2010 |
| Last updated in NPPES | Feb 24, 2026 |
| Certified by provider | Feb 24, 2026 |
| Reactivated | Jun 14, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 2007003698 | MO |
| Dietitian, Registered | 133V00000X | 10220695 | OR |
| Dietitian, Registered | 133V00000X | 6059-29 | WI |
| Dietitian, Registered | 133V00000X | DI61281597 | WA |
| Dietitian, Registered | 133V00000X | DX5577 | MD |
| Dietitian, Registered | 133V00000X | 09740 | OH |
| Dietitian, Registered | 133V00000X | DT87459 | TX |
| Dietitian, Registered | 133V00000X | 2710 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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All 30 registered dietitians in Lees Summit · All registered dietitians in Missouri