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CAMERON EARNHEART RD
NPI 1184104515
Dietitian, Registered in St. Louis, MO

Active since August 15, 2018
3009 NORTH BALLAS ROAD, BUILDING B - SUITE 112, ST. LOUIS, MO 63131(314) 996-7036 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Cameron Earnheart Rd NPPES

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

CAMERON EARNHEART RD (NPI 1184104515) is an individual dietitian, registered in St. Louis, Missouri, licensed in Missouri (2017039272) and active in the NPI registry since August 2018. He is a graduate of University Of Arkansas College Of Medicine (2002).

NPPES Registry Identity

NPI1184104515
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameCAMERON EARNHEARTCredential: RD
Location Address3009 NORTH BALLAS ROAD, BUILDING B - SUITE 112St. Louis, MO 63131
Mailing Address3009 North Ballas Road, Building B - Suite 112St. Louis, MO 63131 · (314) 996-7036
Phone(314) 996-7036
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2002
Enumeration DateAugust 15, 2018
✔ NPI 1184104515 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 · 2017039272
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.
3009 NORTH BALLAS ROAD, St. Louis, MO 63131
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cameron Earnheart Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103382767
PECOS Enrollment IDI20260803004458

Medicare Billing Reassignment

Medicare enrollment records show Cameron Earnheart reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wrmc Internal Medicine Clinic
208 mi
Internal Medicine
3443 HARRISON ST
Batesville, AR 72501
  • Reassigned Medicare billing, Arkansas enrollment
  • Medicare enrollment name: White River Health System, Inc.
  • Also billed through NPI 1265821193 (Arkansas), NPI 1760779607 (Arkansas)
  • 28 clinicians in this Medicare group
NPI 1144609751 (870) 262-1510

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

COMPREHENSIVE EPILEPSY CARE CENTER FOR CHILDREN AND ADULTS, P.C.
Specialist
3009 NORTH BALLAS ROAD, SUITE 129A
ST. LOUIS, MO 63131
St. Louis County (314) 453-9300
DR. JACOB KLEIN MD
Obstetrics & Gynecology
3009 NORTH BALLAS ROAD, SUITE 366 C
ST LOUIS, MO 63131
St. Louis County (314) 569-2424

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cameron Earnheart's NPI number?

The NPI number for Cameron Earnheart is 1184104515. It was assigned to this individual provider in the NPPES registry on August 15, 2018.

Where is Cameron Earnheart located?

Cameron Earnheart practices at 3009 North Ballas Road Building B - Suite 112, St. Louis, MO 63131. The listed phone number is (314) 996-7036.

What is Cameron Earnheart's specialty?

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

Is Cameron Earnheart enrolled in Medicare?

Yes. Cameron Earnheart is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cameron Earnheart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cameron Earnheart reassigns Medicare benefits to Wrmc Internal Medicine Clinic (Batesville, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cameron Earnheart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Cameron Earnheart was last updated on August 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.