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

Active since June 16, 2009
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: October 25, 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.

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
Phone(918) 449-1123
Sole ProprietorYes
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
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Other Identifiers 4

Medicaid200255350 BOK
Medicaid05376085MS
Medicare UPINP95188TN
Medicare PINOK700817OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Dawn Shotton Ms Rd Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Morton Comprehensive Health Services, Inc
10 mi
Federally Qualified Health Center (FQHC)
11511 E 21ST ST
Tulsa, OK 74129
  • Reassigned Medicare billing, Oklahoma enrollment
  • 42 clinicians in this Medicare group
NPI 1205822830 (918) 295-6185

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

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

NUTRITIONAL VOICES LLC
Dietitian, Registered
21333 E 104TH ST
BROKEN ARROW, OK 74014
Wagoner County (918) 449-1123

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 enrollment system.

Which organization bills Medicare for Andrea Shotton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Shotton reassigns Medicare benefits to Morton Comprehensive Health Services, Inc (Tulsa, OK). 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 Andrea Shotton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Shotton accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.