SHALONA KATHRYN CONNOLLY (NPI# 1275027542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275027542 |
| Entity Type | Individual |
| Full Name | SHALONA KATHRYN CONNOLLY |
| Credential | RD |
| Practice Address |
3830 E Van Buren St Phoenix AZ 85008-6920 |
| Mailing Address |
3003 N Central Ave Ste 1600 Phoenix AZ 85012-2908 |
| Practice Telephone | 6022437277 |
| Mailing Telephone | 6023233344 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-12-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86065124 | AZ | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 405667 | 05 |
| Street Address |
3830 E VAN BUREN ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85008-6920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386741668 | Mountain Park Health Center | Clinic/Center | 3830 E Van Buren St, Phoenix, AZ 85008-6936 | 2006-09-20 |
| 1215591623 | Daniella De Marchiori Pedroso | Psychologist | 3830 E Van Buren St, Phoenix, AZ 85008-6920 | 2019-05-01 |
| 1811408206 | Megan Jackson-hamus | Social Worker | 3830 E Van Buren St, Phoenix, AZ 85008-6920 | 2017-10-12 |
| 1184142465 | Starla Schmidt | Dietitian, Registered | 3830 E Van Buren St, Phoenix, AZ 85008-6920 | 2017-09-06 |
| 1073042255 | Hilary Blair Price | Nurse Practitioner | 3830 E Van Buren St, Phoenix, AZ 85008-6920 | 2017-06-09 |
| 1215479829 | Rachael Buckley | Nurse Practitioner | 3830 E Van Buren St, Phoenix, AZ 85008-6936 | 2016-11-14 |
| 1447703004 | Alyssa Ward | Dietitian, Registered | 3830 E Van Buren St, Phoenix, AZ 85008-6936 | 2016-08-01 |
| 1033569330 | Nichole Anguilm | Dietitian, Registered | 3830 E Van Buren St, Phoenix, AZ 85008-6920 | 2016-06-16 |
| 1295192060 | Nitika Singh | Psychologist | 3830 E Van Buren St, Phoenix, AZ 85008-6920 | 2016-01-25 |
| 1578939898 | Sobha Krishnakumar | Nurse Practitioner | 3830 E Van Buren St, Phoenix, AZ 85008-6920 | 2015-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| 1194341131 | Abdulbaril Olandapo Olagunju | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 | 2020-06-24 |
| 1376164632 | Abdul Rahman Raed Mustafa Halawa | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 | 2020-04-28 |
| 1245869460 | Zachary Masuda | Student in an Organized Health Care Education/Training Program | Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 | 2020-04-08 |
| 1942840145 | Cana Behavior LLC | Physical Therapist | 2412 N 36 Pl, Phoenix, AZ 85008 | 2020-01-15 |
| 1871158188 | Fred Gardezy | Student in an Organized Health Care Education/Training Program | Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 | 2019-05-02 |
| 1225692346 | Navkaran Singh Girgla | Student in an Organized Health Care Education/Training Program | 2601 East Roosevelt St., Phoenix, AZ 85008 | 2019-04-24 |
| 1316412323 | Southwest Human Developement | Early Intervention Provider Agency | 2850 N 24h Street, Phoenix, AZ 85008 | 2018-10-05 |
| 1558885970 | Mona Ridhwan Ziems | Midwife | 1919 N 31st St, Phoenix, AZ 85008 | 2017-07-27 |
| 1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
| Find all providers in zip 85008 | ||||
| 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 |
|---|---|---|---|---|
| 1790385938 | Kylee Makenna Forden | Dietitian, Registered | 3800 E Lincoln Dr Unit 38, Phoenix, AZ 85018-1020 | 2020-10-27 |
| 1407467343 | Emily Claire Pelham | Dietitian, Registered | 16601 N 12th St Apt 2051, Phoenix, AZ 85022-7720 | 2020-08-13 |
| 1255956264 | Carrie Standage-beier | Dietitian, Registered | 6831 S 42nd Pl, Phoenix, AZ 85042-5209 | 2020-06-15 |
| 1447875513 | Tyler M Florek | Dietitian, Registered | 13815 N 34th Ave, Phoenix, AZ 85053-5611 | 2020-06-14 |
| 1467074468 | Caitlin May Winsor | Dietitian, Registered | 4040 E San Gabriel Ave, Phoenix, AZ 85044-1328 | 2020-05-12 |
| 1366083883 | Cameron Scholtz | Dietitian, Registered | 2138 E Lawrence Rd, Phoenix, AZ 85016-1118 | 2019-10-06 |
| 1588219745 | Jordan S Jurek | Dietitian, Registered | 3815 E Bell Rd # 4250, Phoenix, AZ 85032-2122 | 2019-08-05 |
| 1255984035 | Rachel Lyn Masser | Dietitian, Registered | 2810 E Thomas Rd, Phoenix, AZ 85016-8010 | 2019-07-19 |
| 1811555915 | Laurie Bradley Mcdonald | Dietitian, Registered | 13842 S 32nd St, Phoenix, AZ 85044-3615 | 2019-06-03 |
| 1083270821 | Kaitlyn C Werner | Dietitian, Registered | 3815 E Bell Rd Ste 4250, Phoenix, AZ 85032-2122 | 2019-05-16 |
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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.