Healthcare Provider Details

I. General information

NPI: 1801977301
Provider Name (Legal Business Name): SHAWNIE S. RICE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

363 EAST ROUTE 66
STRAFFORD MO
65757
US

IV. Provider business mailing address

PO BOX 2580
SPRINGFIELD MO
65801-2580
US

V. Phone/Fax

Practice location:
  • Phone: 417-736-9175
  • Fax: 417-736-9178
Mailing address:
  • Phone: 417-829-4620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2004017388
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: