JESSICA RAE SHAW (MS, RD, LD) – Metabolic Nutrition Registered Dietitian, NPI 1174805147

Metabolic Nutrition Registered Dietitian

JESSICA RAE SHAW (MS, RD, LD) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in Metabolic Nutrition Registered Dietitian. They hold the professional credentials MS, RD, LD. They hold a License No. 1644 (OK). The NPI Number for JESSICA RAE SHAW (MS, RD, LD) is 1174805147

Main info

Female

Name

JESSICA RAE SHAW (MS, RD, LD)

NPI

1174805147

Phone

(405) 604-4498

Address

5701 N PORTLAND AVE

Enumeration Date

15 September 2011

Last Update Date

14 April 2016

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience42

Completeness75

Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for JESSICA RAE SHAW (MS, RD, LD)

5701 N PORTLAND AVE
STE 125
OKLAHOMA CITY, OK 731121670
Phone: (405) 604-4498
Fax: (405) 604-4195
Type: Mailing
1000 N LINCOLN AVE
SUTIE 2900
OKLAHOMA CITY, OK 73104
Phone: (405) 271-3652
Fax: (405) 271-7522
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73112)

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Frequently asked questions

What identifier follows JESSICA RAE SHAW (MS, RD, LD) across health systems?

The NPI 1174805147 uniquely identifies JESSICA RAE SHAW (MS, RD, LD) in U.S. healthcare data.

Quick check: is JESSICA RAE SHAW (MS, RD, LD) active?

Public NPPES data shows JESSICA RAE SHAW (MS, RD, LD) with an active NPI status right now.

What type of care does JESSICA RAE SHAW (MS, RD, LD) provide?

JESSICA RAE SHAW (MS, RD, LD)'s profile centers on Metabolic Nutrition Registered Dietitian. Clinical services aligned with this taxonomy classification.

What city is tied to JESSICA RAE SHAW (MS, RD, LD)?

The directory associates JESSICA RAE SHAW (MS, RD, LD) with Oklahoma City, Oklahoma. Check all listed addresses for suites or satellite offices.

Can I export JESSICA RAE SHAW (MS, RD, LD)'s record?

You can download the official NPPES record; we summarize key fields for readability.