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

MS. Shatavia Renee Cagle

Individual provider Meals Provider · NPI 1497584486

MS. Shatavia Renee Cagle is a Meals Provider in Cape Girardeau, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2024
Specialties on file
4

Practice location Address checks out

1900 William St
Cape Girardeau, MO 63703-5950
Phone: (573) 730-2468
Show map & directions

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

Specialties & licences

Health & Wellness Coach (primary) Taxonomy 171400000X (MO)
Meals Provider Taxonomy 174200000X (MO)
Health Educator Taxonomy 174H00000X (MO)
Physical Therapist Taxonomy 225100000X (MO)

Record details

NPI number1497584486
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 29, 2024
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024