Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACEY LYNN SHAFFER, R.D.
Deactivated Sole ProprietorTRACEY LYNN SHAFFER, R.D. is a Registered Dietitian healthcare provider located in LEES SUMMIT, Missouri. NPI 1487971339 is deactivated in the NPPES registry. Verify at CMS.
Registered Dietitian · LEES SUMMIT, MO
This NPI has been deactivated.
The record was deactivated on May 13, 2013.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1487971339
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 30, 2010 (3.0356164383562 yrs)
- Last Updated
- Feb 24, 2026
- Deactivated
- May 13, 2013
- Licenses
-
10220695 (OR)6059-29 (WI)DI61281597 (WA)DX5577 (MD)2007003698 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4009 NE GRANT STLEES SUMMIT, MO, 640647884Browse MO providers · Browse ZIP 64064
- Phone
- 8162267667
- Primary Specialty
-
Registered Dietitian
133V00000X
- Additional Specialty
- Registered Dietitian
- Additional Specialty
- Registered Dietitian
- Additional Specialty
- Registered Dietitian
- Additional Specialty
- Registered Dietitian
Other Registered Dietitian Providers in LEES SUMMIT, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. MICHELLE DEBORAH ARASIM DIEKMANN | RD, LD | 1275856676 |
| CAROLYN SKELTON | MS, RD, LD | 1003130089 |
| BETH HARRELL | MS, RD | 1215243233 |
| MRS. JANINE MARIE LEWIS | R.D. | 1194011700 |
| VALERIE ROGERS | RD | 1467794289 |
| LINDSAY NELSON | RD, LD | 1144656646 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.