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

Shannon C Brueggemann, MS, RDN, LDN

Individual provider Registered Dietitian · NPI 1679988810

Shannon C Brueggemann, MS, RDN, LDN is a Registered Dietitian OR Nutrition Professional in Saint Louis, Missouri. Qualified in 2001, 25 years ago. Practices with SSM Health Care Group, a 923-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
25
Licensed in
IL, MO
In the registry since
2014
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

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Practice location Address checks out

3660 Vista Ave Second Fl
Saint Louis, MO 63110-2540
Phone: (314) 977-6142
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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 2004020871 (MO)
Registered Dietitian Taxonomy 133V00000X · Licence 164.003871 (IL)

Record details

NPI number1679988810
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RDN , LDN
Sole proprietorNo
NPI enumeratedJune 26, 2014
Last updated in NPPESJune 26, 2014

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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