ANDREA DAWN SHOTTON MS RD LD
NPI 1184851255
Dietitian, Registered in Broken Arrow, OK

Active since June 16, 2009Accepts Medicare Assignment
21333 E 104TH ST, BROKEN ARROW, OK 74014(918) 449-1123 Get Directions Write a Review

NPPES record last updated: February 12, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrea Dawn Shotton Ms Rd Ld NPPES

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

ANDREA DAWN SHOTTON MS RD LD (NPI 1184851255) is an individual dietitian, registered in Broken Arrow, Oklahoma, licensed in Oklahoma (1659) and active in the NPI registry since June 2009. She is a graduate of Other (2000).

NPPES Registry Identity

NPI1184851255
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameANDREA DAWN SHOTTONCredential: MS RD LD
Location Address21333 E 104TH STBroken Arrow, OK 74014-3669
Mailing Address21333 E 104th StBroken Arrow, OK 74014-3669 · (918) 449-1123
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateJune 16, 2009
Last NPPES UpdateFebruary 12, 2011
NPI 1184851255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in OK · 1659
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.

Also ListedNutritionistTaxonomy 133N00000X · License 1371 (TN)
21333 E 104TH ST, Broken Arrow, OK 74014

Other Identifiers 4

Medicaid200255350 BOK
Medicaid05376085MS
Medicare UPINP95188TN
Medicare PINOK700817OK

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Andrea Dawn Shotton Ms Rd Ld is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204982069
PECOS Enrollment IDI20090918000477

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74014 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.00 – $162.61
Typical copayment $0.00 (range $13.25 – $40.65)
Most-billed visit code NA
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Dietitian, Registered
21333 E 104TH ST
BROKEN ARROW, OK 74014

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 Andrea Shotton's NPI number?

The NPI number for Andrea Shotton is 1184851255. It was assigned to this individual provider in the NPPES registry on June 16, 2009.

Where is Andrea Shotton located?

Andrea Shotton practices at 21333 E 104th St, Broken Arrow, OK 74014. The listed phone number is (918) 449-1123.

What is Andrea Shotton's specialty?

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

Is Andrea Shotton enrolled in Medicare?

Yes. Andrea Shotton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrea Shotton accept?

Health plans from CommunityCare, Medica and Mending Health list Andrea Shotton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrea Shotton was last updated on February 12, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.