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

Shae M Mowry

Individual provider Registered Dietitian · NPI 1851054258

Shae M Mowry is a Registered Dietitian OR Nutrition Professional in Springfield, Illinois. Qualified in 2017, 9 years ago. Practices with Memorial Medical Center, a 130-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2021
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Practice location Address checks out

319 E Madison St Ste 1F
Springfield, IL 62701-3118
Phone: (217) 788-3948
Fax: (217) 527-3209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 164.007492 (IL)

Record details

NPI number1851054258
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 21, 2021
Last updated in NPPESOctober 21, 2021
Certification dateOctober 21, 2021
Mailing addressPo Box 3428, Springfield, IL 62708-3428

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Memorial Medical Center — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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