KIMBERLY SHANNON


Address: 3507 Craughwell Dr, Charlotte, NC 28209-1994
Phone: 7046099565

KIMBERLY SHANNON (NPI# 1093365975) 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) 1093365975
Entity Type Individual
Full Name KIMBERLY SHANNON
Credential RD
Practice Address 3507 Craughwell Dr
Charlotte
NC 28209-1994
Practice Telephone 7046099565
Enumeration Date 2019-09-12
Last Update Date 2019-09-12
Gender Code F
Is Sole Proprietor N

Taxonomy

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

Other Providers KIMBERLY SHANNON

NPI Name Taxonomy Address Enumeration
1407396203 Kimberly Shannon Registered Nurse 201 Mechanic St, Lexington, KY 40507-1086 2017-02-28
1700160694 Kimberly Evette Shannon Pharmacist 930 8th Ave W, Palmetto, FL 34221-4712 2011-10-10
1922233212 Kimberly Lynn Shannon Marriage & Family Therapist 118 E 8th St, Port Angeles, WA 98362-6129 2009-05-15
1598736266 Kimberly Shannon Internal Medicine 1272 Garrison Dr, Murfreesboro, TN 37129-2598 2006-01-30

Office Location

Street Address 3507 CRAUGHWELL DR
City CHARLOTTE
State NC
Zip Code 28209-1994

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194382200 Christopher Joseph Malara Occupational Therapy Assistant 3600 Park Rd, Charlotte, 28209, Nc, Charlotte, NC 28209 2019-05-23
1982187571 Elizabeth Black Smith Dietitian, Registered 5821 Fairview Road, Suite 216, Charlotte, NC 28209 2018-09-11
1235611690 Shearer Counseling Services Pllc Counselor 5200 Park Road Ste 200-3, Charlotte, NC 28209 2018-09-02
1942796396 Wade Medical Transportation Services, LLC Non-emergency Medical Transport (VAN) 4400 Park Rd Unit 315, Charlotte, NC 28209 2018-07-09
1750803672 Stephanie Rindner Behavior Technician 716 Marsh Road, Charlotte, NC 28209 2017-07-12
1861939621 Carolinas Healthcare System General Acute Care Hospital 3329 Weston St, Charlotte, NC 28209 2017-01-31
1275943011 Cameron Cunningham Anesthesiology 1515 Mockingbird Ln Ste 680, Charlotte, NC 28209 2014-05-02
1013299205 Digital Ultrasound Associates Spec/Tech, Cardiovascular 4450 South Blvd Suite 4, Charlotte, NC 28209 2011-09-13
1801117676 Rosemary Nmi Lucas Physical Therapist 2910 Selwyn Ave #359, Charlotte, NC 28209 2010-06-16
1194049767 Frances Massey Harley Speech-Language Pathologist 715 Hartford Avenue, Sedgefield Elementary School, Charlotte, NC 28209 2010-03-25
Find all providers in zip 28209

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
1811502081 Leslie Thompson Van Horn Dietitian, Registered 7722 Quail Park Dr, Charlotte, NC 28210-6928 2020-09-14
1679188064 Taryn Mattern Dietitian, Registered 4617 Dabney Vigor Dr, Charlotte, NC 28209-2839 2020-09-11
1508478017 Katelin Emproto Dietitian, Registered 13521 Steelecroft Pkwy Unit D, Charlotte, NC 28278-7551 2020-08-18
1699386169 Sequoia A Ridley Dietitian, Registered 7015 Berolina Ln Apt 1536, Charlotte, NC 28226-8710 2020-08-10
1396360954 Madalyn Quinn Dietitian, Registered 309 S Sharon Amity Rd Ste 102, Charlotte, NC 28211-2886 2020-06-10
1578185567 Madison Nancy Dodsworth Dietitian, Registered 11519 Painted Tree Rd, Charlotte, NC 28226-3841 2020-05-12
1356962203 Lucy Price Hooper Dietitian, Registered 507 Queens Rd Apt 405, Charlotte, NC 28207-1592 2020-05-01
1457984478 Tara Lavelle Dietitian, Registered 5434 Dockery Dr, Charlotte, NC 28209-3672 2020-02-18
1265072664 Melanie Romano Dietitian, Registered 7733 Ballantyne Commons Pkwy Ste 201-i, Charlotte, NC 28277-4396 2020-01-14
1669016804 Michael Decaro Dietitian, Registered 309 S Sharon Amity Rd Ste 101, Charlotte, NC 28211-2978 2019-10-31
Find all providers in CHARLOTTE

Competitor

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City CHARLOTTE
Zip Code 28209

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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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