MRS. SHIRLEY W ANDERSON RDLD
NPI 1053687426
Dietitian, Registered in Fenton, MO

Q: What is Shirley Anderson's NPI number?

The NPI number for Shirley Anderson is 1053687426. It was assigned to this individual provider in the NPPES registry on March 29, 2012.

Q: What is Shirley Anderson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Shirley Anderson was last updated on March 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 29, 2012

1015 BOWLES AVE, FENTON, MO 63026(636) 496-5815 Get Directions Write a Review

NPPES record last updated: March 29, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Shirley W Anderson Rdld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHIRLEY W ANDERSON RDLD (NPI 1053687426) is an individual dietitian, registered in Fenton, Missouri, licensed in Missouri (20040226599) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1053687426

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMRS. SHIRLEY W ANDERSONCredential: RDLD

Location Address1015 BOWLES AVEFenton, MO 63026-2394

Mailing Address410 Wilcox AveKirkwood, MO 63122 · (636) 496-2543

Phone(636) 496-5815

Sole ProprietorYes

Enumeration DateMarch 29, 2012

✔ NPI 1053687426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in MO · 20040226599

Definition

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.

1015 BOWLES AVE, Fenton, MO 63026

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GLORIA YETUNDE OJERINDE MD

Internal Medicine