1730699356 NPI number — MRS. MARY BETH SHAPCOTT RN, CDE

Table of content: MRS. MARY BETH SHAPCOTT RN, CDE (NPI 1730699356)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730699356 NPI number — MRS. MARY BETH SHAPCOTT RN, CDE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHAPCOTT
Provider First Name:
MARY
Provider Middle Name:
BETH
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RN, CDE
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WHITE
Provider Other First Name:
MARY
Provider Other Middle Name:
BETH
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1730699356
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/10/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
500 EAST MARKET ST.
Provider Second Line Business Mailing Address:
MERCY HOSPITAL DIABETES EDUCATION
Provider Business Mailing Address City Name:
IOWA CITY
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
52245
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
319-339-3538
Provider Business Mailing Address Fax Number:
319-358-2653

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
500 EAST MARKET ST.
Provider Second Line Business Practice Location Address:
MERCY HOSPITAL DIABETES EDUCATION
Provider Business Practice Location Address City Name:
IOWA CITY
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52245
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-339-3538
Provider Business Practice Location Address Fax Number:
319-358-2653
Provider Enumeration Date:
10/10/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WD0400X , with the licence number:  068881 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com