MRS. SHANNON INGALLS HOLTON (NPI# 1144638495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144638495 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON INGALLS HOLTON |
| Credential | RDN, CSP, LDN |
| Practice Address |
2403 Kay Rd Greenville NC 27858-9541 |
| Practice Telephone | 2524143504 |
| Mailing Telephone | 2524143504 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
L002544 | NC | Dietary & Nutritional Service Providers |
| Street Address |
2403 KAY RD |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27858-9541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890797 | Kari Melissa Carr | Counselor | 4410 Health Sciences Building, Greenville, NC 27858 | 2020-08-05 |
| 1518584705 | Apriann Marchelle Sutton | Social Worker | 2050 Eastgate Dr., # E, Greenville, NC 27858 | 2020-07-03 |
| 1174145338 | Matthew Charles Whited | Psychologist | Pass Clinic Rawl Building Room 311, East Carolina University, Greenville, NC 27858 | 2020-05-11 |
| 1760025043 | Brooke Elizabeth Wallace | Occupational Therapist | 740 Greenville Blvd, Ste 400 #133, Greenville, NC 27858 | 2019-10-19 |
| 1770141699 | Andrew Pickett | Specialist/Technologist | 130b Scales Field House, Ecu, Greenville, NC 27858 | 2019-06-05 |
| 1659836591 | Advanced Regenerative Care, Pllc | Physical Medicine & Rehabilitation | 504 C Red Banks Road, Greenville, NC 27858 | 2019-02-05 |
| 1316410996 | East Carolina Acupuncture Inc | Acupuncturist | 211 Commerce Street, Suite A, Greenville, NC 27858 | 2019-01-07 |
| 1922597368 | Kevin Westbrook | Respiratory Therapist, Registered | 513 Abington Court, Greenville, NC 27858 | 2018-05-01 |
| 1871090167 | Faith Based Counseling Services, LLC | Counselor | 235 Commerece Street, Greenville, NC 27858 | 2018-04-12 |
| 1639677800 | Marcus Brian Ward, Dmd, Pa | Clinic/Center | 3912 East 10th St., Greenville, NC 27858 | 2018-01-23 |
| Find all providers in zip 27858 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043595200 | Natalie Alison Taft | Dietitian, Registered | 2150 Herbert Ct, Ecu Physicians Pediatric Specialty Care, Greenville, NC 27834-3736 | 2011-10-19 |
| 1861640989 | Cara S. Jenkins | Dietitian, Registered | 600 Moye Blvd, Ecu Physicians- Pediatric Outpatient Center, Greenville, NC 27834 | 2008-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821555160 | Angela Rutherford | Dietitian, Registered | 10207 Cerny St Ste 110, Raleigh, NC 27617-4880 | 2019-02-22 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1184027872 | Jennifer Fowler | Dietitian, Registered | 121 Arbor Dr, Washington, NC 27889-8720 | 2014-10-08 |
| 1487995486 | Lisa Mire | Dietitian, Registered | 1001 Blythe Blvd Ste 601, Charlotte, NC 28203-6107 | 2013-03-15 |
| 1568768620 | Lisa D Wright | Dietitian, Registered | 649 46th Avenue Dr Ne, Hickory, NC 28601-7318 | 2011-02-07 |
| 1972670388 | Tanya Daniella Melton | Dietitian, Registered | 988 Red Stone Ct, Rougemont, NC 27572-9407 | 2006-11-29 |
| 1336190628 | Barbara Andresen | Dietitian, Registered | 3447 Robinhood Rd, Suite 209, Winston Salem, NC 27106-4791 | 2006-05-12 |
| 1548887177 | Sarah Gregory | Dietitian, Registered | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-06-30 |
| 1023655677 | Holly Hirsch | Dietitian, Registered | 1001 Blythe Blvd Ste 601, Charlotte, NC 28203-6107 | 2019-12-03 |
| 1730611815 | Katherine Rooney | Dietitian, Registered | 4555 Ogburn Ave, Winston Salem, NC 27105-2726 | 2017-03-29 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 27858 |
Please comment or provide details below to improve the information on MRS. SHANNON INGALLS HOLTON.
| 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.