SHANNON GROVE (NPI# 1093220790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093220790 |
| Entity Type | Individual |
| Full Name | SHANNON GROVE |
| Credential | RDN |
| Practice Address |
500 Polk St Ste 24 Greenwood IN 46143-1638 |
| Mailing Address |
241 E Brunswick Ave Indianapolis IN 46227-2047 |
| Practice Telephone | 3177965740 |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2017-12-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 952699 | IN | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396292892 | Shannon R Grove | Nurse Practitioner | 289 Great Road, Suite G1, Acton, MA 01720 | 2016-09-01 |
| Street Address |
500 POLK ST STE 24 |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46143-1638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
| 1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
| 1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
| Find all providers in zip 46143 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813324 | Morgan Stasik | Dietitian, Registered | 3364 Auburn Ct, Greenwood, IN 46143-9259 | 2020-08-26 |
| 1114535416 | Supriya Lal | Dietitian, Registered | 303 Parkwood Rd, Greenwood, SC 29646 | 2020-07-22 |
| 1306312723 | Jillian Moore | Dietitian, Registered | 25617 S Harris Rd, Greenwood, MO 64034-8247 | 2018-10-24 |
| 1235398819 | Amy Watson | Dietitian, Registered | 812 Knollwood Dr, Greenwood, IN 46142-2019 | 2008-06-09 |
| 1386259786 | Amanda Jo Pantone | Dietitian, Registered | 3000 S State Road 135, Greenwood, IN 46143-9825 | 2020-09-11 |
| 1922619550 | Abby Self | Dietitian, Registered | 333 E County Line Rd Ste B, Greenwood, IN 46143-1080 | 2020-08-17 |
| 1912558016 | Cassidy Wheeler | Dietitian, Registered | 607 Greenwood Springs Dr, Greenwood, IN 46143-6377 | 2019-09-20 |
| 1215592258 | Paula R Johnson | Dietitian, Registered | 1325 Spring St, Greenwood, SC 29646-3875 | 2019-05-06 |
| 1154847374 | Kaitlyn Wong | Dietitian, Registered | 533 E County Line Rd Ste 101, Greenwood, IN 46143-1074 | 2017-08-18 |
| 1881051738 | Cynthia Wilson | Dietitian, Registered | 128 Maxwell Ave, Suite F, Greenwood, SC 29646-2641 | 2016-01-23 |
| Find all providers in GREENWOOD | ||||
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| 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.