Grow interest in your health. Challenge and change your habits.

The Healthy Living Program is a 10 week program designed to give you the proper tools and resources to sustain a healthy lifestyle that works for you.

Weight Management

Personal nutrition and fitness coaching

Tools for behavior and change and staying motivated

Pre/Post blood work review with a SMC Provider

SMC Wellness Center

Grocery store tour

Interactive weekly classes

Healthy cooking class

For more information or to register, contact Nikki Carlson at 712-246-7325 or Amy Zona at 712-246-7165.


Nurse Practitioner

Kristen Thatcher, ARNP

Kristen Thatcher, ARNP is a Family Nurse Practitioner at the SMC Clinic and covers the Walk-In Clinic as well. Kristen received her Bachelor of Science in Nursing from Missouri Western State University in 2002. In 2014, she went back to school for her Masters of Science in Nursing at Graceland University. Kristen truly enjoys working as a primary care provider, and building strong relationships with her patients and their families. When she's not taking care of patients, Kristen loves spending time with her family, reading a good book, crafting and watching movies.

Registered Dietitian

Shala Augustine, MS, RD, LD

Shala joined Shenandoah Medical Center in May of 2015. She graduated from Northwest Missouri State University with a Bachelor of Science: Foods and Nutrition Degree. Shala completed her Dietetic Internship through the University of Oklahoma Health Sciences Center. In 2018 Shala went back to school and completed her Master of Science in Nutrition and Human Performance. She enjoys working with inpatients and outpatients within the hospital, but also loves promoting nutrition education and awareness within the community. She hopes to grow SMC’s dietetic programs to be able to offer more opportunities for patients and community members to promote overall wellbeing.

Personal Trainer

Nikki Carlson, CPT

Nikki joined Shenandoah Medical Center in January of 2002. She graduated from Central College with a Bachelor of Science: Cooperate Wellness and Exercise Science. Nikki is currently the Director of Wellness at SMC. She oversees the Employee Wellness Program and Personal Training Departments. The Personal Training team designs programs for student athletes all the way up to elderly adults. Nikki enjoys working with clients of all ages. She says the greatest reward is seeing someone achieve their wellness goals, and realizing that they can achieve them with a little effort.  

1 Jack Foster Drive

Shenandoah, IA 51601


Call us today!

Clinic Hours

Monday-Friday: 7-5:00pm

Walk-In Clinic Hours

Monday-Friday: 7-6:30pm Saturday-Sunday: 9-12:30pm