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Contact Information

CAROL J SHOULDERS, RD CDE LD
US HWY 491 NORTH
SHIPROCK, NM87420
 Phone: 505-968-6020
 Fax: 505-368-6481
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for CAROL J SHOULDERS · (Female)

NPI Number 1841287182
Status Active
Credentials RD CDE LD
Entity Individual
Enumeration date 10/03/2005
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • NM License # 09315463
  • NM License # 505
  • NM Medicaid 17125758
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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