SHANNON WISE (NPI# 1093258030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093258030 |
| Entity Type | Individual |
| Full Name | SHANNON WISE |
| Credential | RD, LD |
| Practice Address |
2409 Rio Mesa Dr Austin TX 78732-1964 |
| Mailing Address |
2409 Rio Mesa Drive Austin TX 78732 |
| Practice Telephone | 4152608995 |
| Mailing Telephone | 4152608995 |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2016-11-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DT81117 | TX | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891088910 | Shannon Davis Wise | Internal Medicine | 7273 Vanderbilt Beach Rd Ste 28, Naples, FL 34119-1479 | 2011-05-23 |
| 1528418019 | Shannon D Wise | Audiologist | 2495 Shreveport Hwy, Pineville, LA 71360-2004 | 2016-06-15 |
| 1558603977 | Shannon Paige Wise | Advanced Practice Midwife | 4660 Kenmore Ave Ste 902, Alexandria, VA 22304-1306 | 2013-03-24 |
| 1447260302 | Shannon J Wise | Chiropractor | 8481 Fishers Center Dr, Fishers, IN 46038-2318 | 2006-08-09 |
| Street Address |
2409 RIO MESA DR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78732-1964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477181014 | The Doctors Morren, Pllc | Dentist | 3810 N Quinlan Park Rd, Austin, TX 78732 | 2020-03-30 |
| 1851803688 | Lake Travis Emergency Physicians, Pllc | Internal Medicine | 5012 Ranch Road 620 North, Austin, TX 78732 | 2017-11-02 |
| 1679018386 | Joseph Civello | Pharmacist | 6911 Ranch Rd 620 N, Austin, TX 78732 | 2017-01-04 |
| 1619300431 | Rapid Radiology, Inc. | Radiology | 6548 Comanche Trl Ste 501, Austin, TX 78732 | 2013-08-15 |
| 1417395658 | Meagan Lee Scarborough | Dentist | 2900 N Quinlan Park Rd Ste 160, Austin, TX 78732 | 2013-06-10 |
| 1851667729 | Quinlan Park Dental | Dentist | 5145 N. Fm 620 Suite G-150, Austin, TX 78732 | 2012-03-26 |
| 1568611978 | Sumita Chakraborti | Dentist | 5145 N. Fm 620, Suite G-150, Austin, TX 78732 | 2008-09-10 |
| 1376736371 | Alexander Banks | Registered Nurse | 2900 N. Quinlan Park Rd., B240, Austin, TX 78732 | 2007-08-22 |
| 1760602585 | Vista View Dental | Dentist | 4300 N Quinlan Park Blvd, Suite 230, Austin, TX 78732 | 2007-04-26 |
| 1659448876 | Katherine Blum | Preventive Medicine | 3208 Magenta Sky Trail, Austin, TX 78732 | 2006-11-30 |
| Find all providers in zip 78732 | ||||
| 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 |
|---|---|---|---|---|
| 1912507971 | Wendy Snowden | Dietitian, Registered | 11223 Kingsgate Dr, Austin, TX 78748-3435 | 2020-10-29 |
| 1104423797 | Mariam Maaz Eid | Dietitian, Registered | 8421 Etienne Cv, Austin, TX 78759-8201 | 2020-10-06 |
| 1518564467 | Elizabeth Hill | Dietitian, Registered | 6500 Champion Grandview Way Apt 22105, Austin, TX 78750-8388 | 2020-10-05 |
| 1891302006 | Allison Marie Mcnulty | Dietitian, Registered | 2823 E Mlk Jr Blvd Apt 2329, Austin, TX 78702-0038 | 2020-09-30 |
| 1972110856 | Kristen Whittington | Dietitian, Registered | 3715 S 1st St Apt 272, Austin, TX 78704-0103 | 2020-09-25 |
| 1982218897 | Clara Di Vincenzo | Dietitian, Registered | 1601 Trinity St Stop A, Austin, TX 78712-1766 | 2020-09-08 |
| 1609492636 | Sarah Jane Doerffler | Dietitian, Registered | 13201 Legendary Dr Apt 6202, Austin, TX 78727-4035 | 2020-06-25 |
| 1982227021 | Adee Levinstein | Dietitian, Registered | 11328 Church Canyon Dr, Austin, TX 78754-5900 | 2020-05-23 |
| 1770106940 | Julia Todd | Dietitian, Registered | 1801 E 51st St Bldg G, Austin, TX 78723-3434 | 2020-05-22 |
| 1700414885 | Kelli Jo Webb | Dietitian, Registered | 911 W 38th St Ste 201, Austin, TX 78705-1107 | 2020-04-01 |
| Find all providers in AUSTIN | ||||
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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.