KIMBERLY SHANNON (NPI# 1093365975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| 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 |
| Street Address |
3507 CRAUGHWELL DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28209-1994 |
| 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 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 |
|---|---|---|---|---|
| 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 | ||||
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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.