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MRS. MOLLY SHATTUCK RD
NPI 1912284977
Dietitian, Registered - Nutrition, Renal in Moline, IL

Active since November 04, 2011
400 JOHN DEERE RD, MOLINE, IL 61265(309) 762-0200 Get Directions Write a Review

NPPES record last updated: November 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Molly Shattuck Rd NPPES

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

MRS. MOLLY SHATTUCK RD (NPI 1912284977) is an individual nutrition, renal provider in Moline, Illinois, licensed in Illinois (164005153) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1912284977
Entity TypeIndividualFemale
Primary Taxonomy133VN1005X
Provider Legal NameMRS. MOLLY SHATTUCKCredential: RD
Location Address400 JOHN DEERE RDMoline, IL 61265-6898
Mailing Address2514 3rd StMoline, IL 61265-5105 · (309) 781-9446
Phone(309) 762-0200
Sole ProprietorNo
Enumeration DateNovember 4, 2011
✔ NPI 1912284977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, Registered · Nutrition, RenalDietary & Nutritional Service Providers
Taxonomy Code133VN1005X
License✔ Licensed in IL · 164005153
Definition
An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 001928 (IA)
400 JOHN DEERE RD, Moline, IL 61265
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Other Providers at the Same Location NPPES 3

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

QUAD CITIES KIDNEY CENTER, LTD.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
400 JOHN DEERE RD
MOLINE, IL 61265
Rock Island County (309) 762-5570
DIALYSIS ACCESS CENTER, LLC
Clinic/Center (Ambulatory Surgical)
400 JOHN DEERE RD, BUILDING 2
MOLINE, IL 61265
Rock Island County (309) 797-0594
FRESENIUS MEDICAL CARE QUAD CITIES, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
400 JOHN DEERE RD
MOLINE, IL 61265
Rock Island County (309) 762-5570

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 Molly Shattuck's NPI number?

The NPI number for Molly Shattuck is 1912284977. It was assigned to this individual provider in the NPPES registry on November 4, 2011.

Where is Molly Shattuck located?

Molly Shattuck practices at 400 John Deere Rd, Moline, IL 61265. The listed phone number is (309) 762-0200.

What is Molly Shattuck's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Renal, with taxonomy code 133VN1005X.

When was this NPI record last updated?

The NPPES record for Molly Shattuck was last updated on November 4, 2011. 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.