Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Charissa Sue Shadduck, MSRD

Individual provider Registered Dietitian · NPI 1629264973

Mrs. Charissa Sue Shadduck, MSRD is a Registered Dietitian OR Nutrition Professional in Mason, Michigan. Qualified in 2002, 24 years ago. Practices with Community Mental Health Authority of Clinton Eaton Ingham Counties, a 76-clinician group and accepts Medicare assignment.

Years since qualifying
24
In the registry since
2007

Practice location Address checks out

3181 Sandhill Rd
Mason, MI 48854
Phone: (517) 336-6060
Fax: (517) 336-6050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1629264973
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSRD
Sole proprietorNo
NPI enumeratedSeptember 20, 2007
Last updated in NPPESDecember 4, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Community Mental Health Authority Of Clinton Eaton Ingham Counties — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mason