MRS. SHANNON LYN CARROLL


Address: 2400 South St, Greater Lafayette Health Services Food and Nutrition, Lafayette, IN 47904-3027
Phone: 7654495139

MRS. SHANNON LYN CARROLL (NPI# 1073686796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073686796
Entity Type Individual
Full Name MRS. SHANNON LYN CARROLL
Credential R.D.
Practice Address 2400 South St
Greater Lafayette Health Services Food and Nutrition
Lafayette
IN 47904-3027
Mailing Address 7392 W Division Line Rd
Delphi
IN 46923-8909
Practice Telephone 7654495139
Practice Fax Number 7654493061
Mailing Telephone 7655643650
Enumeration Date 2006-11-17
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 848411 IN Dietary & Nutritional Service Providers

Other Providers SHANNON CARROLL

NPI Name Taxonomy Address Enumeration
1417503152 Shannon C Carroll In Home Supportive Care 405 Buchanan St, Richlands, VA 24641-2414 2019-08-16
1215599170 Shannon Joan Carroll Nurse Practitioner 1448 Richardson St, Baltimore, MD 21230-5322 2019-07-01
1518440429 Shannon Mikeal Carroll Social Worker 2640 International Blvd, Oakland, CA 94601-1512 2018-09-07
1043754955 Shannon Carroll Counselor 120 N Roanoke, Hines, OR 97738 2016-12-12
1740639376 Shannon Grace Carroll Speech-Language Pathologist 12908 Kachina Pl Ne Apt C, Albuquerque, NM 87112-3706 2016-06-04
1912251273 Shannon Carroll Speech-Language Pathologist 7719 224th St E, Graham, WA 98338-7361 2012-11-07
1649737065 Shannon Carroll Physician Assistant 34 Maple St, Norwalk, CT 06850-3894 2019-02-21
1760955405 Shannon Leigh Carroll Behavior Technician 132 Robbs Hill Rd, Lunenburg, MA 01462-2167 2019-01-04
1639658412 Shannon Michael Carroll Physical Therapist 16550 W 78th St Ste B, Eden Prairie, MN 55346-4316 2018-08-12
1932592797 Shannon Carroll Family Medicine 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 2015-03-17

Office Location

Street Address 2400 SOUTH ST
GREATER LAFAYETTE HEALTH SERVICES FOOD AND NUTRITION
City LAFAYETTE
State IN
Zip Code 47904-3027

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487650180 Kenneth Gerald Fortress Pathology 2400 South St, Lafayette, IN 47904-3027 2005-06-27
1245569862 Unity Healthcare, LLC Anesthesiology 2400 South St, Lafayette, IN 47904-3027 2009-12-10
1669636064 Lafayette Neonatal Associates PC Pediatrics 2400 South St, Lafayette, IN 47904-3027 2008-07-15
1063632024 Corry Lynn Voll Occupational Therapist 2400 South St, Home Hospital Rehabilitation Unit, Lafayette, IN 47904-3027 2007-05-01
1720108574 North Central Health Services Inc. Clinic/Center 2400 South St, Lafayette, IN 47904-3027 2007-03-29
1003970971 Arnett Clinic, LLC Durable Medical Equipment & Medical Supplies 2400 South St, Lafayette, IN 47904-3027 2006-12-21
1922108133 Robert Eugene Tipton Pediatrics 2400 South St, Home Hospital, Lafayette, IN 47904 2006-09-25
1518063452 Rosario N Chua Pediatrics 2400 South St, Lafayette Home Hospital, Lafayette, IN 47904 2006-09-16
1134162274 Jan Fisher Anesthesiology 2400 South St, Lafayette, IN 47904-3027 2006-06-14
1477507416 Sameer Bhatia Radiology 2400 South St, Lafayette, IN 47904-3027 2006-05-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568998615 Angela Hands Physical Therapy Assistant 1260 North 17th Street, Lafayette, IN 47904 2017-05-11
1366894164 Kathryn Barnett Behavioral Analyst 2785 Cason St # 2, Lafayette, IN 47904 2016-07-06
1881972917 Rest Assured, LLC Durable Medical Equipment & Medical Supplies 180 Professional Ct., Lafayette, IN 47904 2011-07-22
1144514233 Michelle Cristin Singleton Dietitian, Registered 508 N 26th St, Lafayette, IN 47904 2011-06-06
1912134438 Jean D Trammel Marriage & Family Therapist 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 2009-06-11
1902946056 Terry Richard Baker Optometrist 2300 Sagamore Parkway S, Lafayette, IN 47904 2007-02-07
1891862165 Becki A Bowditch Inc Social Worker 2201 Ferry Street, Lafayette, IN 47904 2006-11-29
1326121849 James Lowell Thomas Pediatrics 2300 Ferry St, Lafayette, IN 47904 2006-10-21
1700976719 Michael Leonard Bagnoli Dentist 2020 Union Street, Suite 200, Lafayette, IN 47904 2006-10-13
1255428801 Lynn Arlen Pestle Dentist 2550 Elmwood Avenue, Lafayette, IN 47904 2006-10-06
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154886018 Stephanie B Kobetz Dietitian, Registered 105 Branch Cir, Lafayette, LA 70508-6323 2019-02-05
1497236046 Frances Mcintosh Dietitian, Registered 332 E Farrel Rd Ste C, Lafayette, LA 70508-7183 2018-08-22
1073052692 Amy Staggs Dietitian, Registered 101 W Farrel Rd Ste 101, Lafayette, LA 70508-7243 2017-02-15
1619419124 Kara M Booth Dietitian, Registered 35 Executive Dr, Suite 5, Lafayette, IN 47905-3835 2016-11-15
1629443841 Corryn Smith Taylor Dietitian, Registered 411 Saint Patrick St, Lafayette, LA 70506-4552 2015-12-14
1841605755 Elizabeth Champagne, LLC Dietitian, Registered 1304 Lafayette St, Lafayette, LA 70501-6842 2014-06-30
1275959348 Jennifer Jackson Dietitian, Registered 101 Vinemont Dr, Lafayette, LA 70501-6579 2014-03-12
1134475254 Traci Quebedeaux Dietitian, Registered 201 W. Willow St Bldg A, Lafayette, LA 70501 2012-07-26
1063772671 Jessica Person Eckert Dietitian, Registered 209 Marquette Dr, Lafayette, LA 70503-6640 2012-05-17
1710246962 Kathleen N Bishop Dietitian, Registered 100 Winchester Dr, Apt 402, Lafayette, LA 70506-6096 2012-05-09
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Competitor

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City LAFAYETTE
Zip Code 47904

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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