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

Individual provider Registered Dietitian · NPI 1487971339

Tracey Lynn Shaffer, RD is a Registered Dietitian in Lees Summit, Missouri. Practices as a sole proprietor. Licensed in Maryland, Missouri, Ohio and Oklahoma and 4 more.

Licensed in
MD, MO, OH, OK, OR, TX
In the registry since
2010
Specialties on file
8
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

4009 NE Grant St
Lees Summit, MO 64064-7884
Phone: (816) 226-7667
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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 2007003698 (MO)
Registered Dietitian Taxonomy 133V00000X · Licence 10220695 (OR)
Registered Dietitian Taxonomy 133V00000X · Licence 6059-29 (WI)
Registered Dietitian Taxonomy 133V00000X · Licence DI61281597 (WA)
Registered Dietitian Taxonomy 133V00000X · Licence DX5577 (MD)
Registered Dietitian Taxonomy 133V00000X · Licence 09740 (OH)
Registered Dietitian Taxonomy 133V00000X · Licence DT87459 (TX)
Registered Dietitian Taxonomy 133V00000X · Licence 2710 (OK)

Record details

NPI number1487971339
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedApril 30, 2010
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026
Mailing addressPo Box 830242, Philadelphia, PA 19182-0242

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