NICHOLETTE SHAWN (NPI# 1124653233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124653233 |
| Entity Type | Individual |
| Full Name | NICHOLETTE SHAWN |
| Credential | RD, LD |
| Practice Address |
9535 Forest Ln Dallas TX 75243-5900 |
| Mailing Address |
1508 Flamingo Dr Arlington TX 76012-5513 |
| Practice Telephone | 8177931670 |
| Mailing Telephone | 8177931670 |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DT84472 | TX | Dietary & Nutritional Service Providers |
| Street Address |
9535 FOREST LN |
| City | DALLAS |
| State | TX |
| Zip Code | 75243-5900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013042035 | Associated Rehabilitation Services, Inc. | Clinic/Center | 9535 Forest Ln, Suite 212, Dallas, TX 75243-5900 | 2007-02-22 |
| 1487280327 | Radishing Recovery Nutrition Counseling | Clinic/Center | 9535 Forest Ln, Dallas, TX 75243-5900 | 2020-03-22 |
| 1477004117 | Opes Revenue Cycle Management LLC | Durable Medical Equipment & Medical Supplies | 9535 Forest Ln, Suite 100a, Dallas, TX 75243-5900 | 2016-10-18 |
| 1235683921 | Pantheon Medical LLC | Blood Bank | 9535 Forest Ln, Suite 100a, Dallas, TX 75243-5900 | 2016-08-10 |
| 1811441595 | Medisource Partners LLC | Blood Bank | 9535 Forest Ln, Suite 100a, Dallas, TX 75243-5900 | 2016-08-10 |
| 1306216833 | Jenny Chisholm | Counselor | 9535 Forest Ln, Suite 212, Dallas, TX 75243-5900 | 2015-09-26 |
| 1386029890 | Stephanie Michelle Cone | Nurse Practitioner | 9535 Forest Ln, Suite 100, Dallas, TX 75243-5900 | 2015-07-26 |
| 1811236391 | Rachael Mcbride | Dietitian, Registered | 9535 Forest Ln, Suite 251, Dallas, TX 75243-5900 | 2013-02-04 |
| 1144567363 | Health Rejuvenation Specialists | Family Medicine | 9535 Forest Ln, Suite 100, Dallas, TX 75243-5900 | 2013-01-08 |
| 1588915490 | Leslie Laws | Counselor | 9535 Forest Ln, Dallas, TX 75243-5900 | 2012-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970830 | Nnamdi Okorie | Licensed Vocational Nurse | [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 | 2020-07-23 |
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1033609292 | Mother Earth Healthcare Services Inc | Home Health | 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 | 2018-05-14 |
| 1346742822 | Chioma Ifeji | Licensed Vocational Nurse | 13317 Daystrom Court, Dallas, TX 75243 | 2018-03-01 |
| 1598282865 | Kimberly Ann Whitney | Social Worker | 11520 N Central Expy Ste 254, Dallas, TX 75243 | 2017-08-27 |
| 1962934083 | Dignity Private Care, LLC | In Home Supportive Care | 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 | 2017-03-29 |
| 1699214569 | Vitalis Home Health LLC | Home Health | 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 | 2017-02-13 |
| 1881130946 | Proniles | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Dr, Dallas, TX 75243 | 2017-01-13 |
| 1194273664 | Osman W Awdallah | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Drive, Dallas, TX 75243 | 2016-09-14 |
| Find all providers in zip 75243 | ||||
| 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 |
|---|---|---|---|---|
| 1952902637 | Allison Kleppe | Dietitian, Registered | 6255 Oram St Apt 106, Dallas, TX 75214-3985 | 2020-11-08 |
| 1720699945 | Brenna Mcconniel | Dietitian, Registered | 6071 Village Bend Dr Apt 103, Dallas, TX 75206-3502 | 2020-08-11 |
| 1891305314 | Patricia Rose Morrison | Dietitian, Registered | 8806 Redondo Dr, Dallas, TX 75218-4142 | 2020-08-10 |
| 1093324592 | Kara Osburn | Dietitian, Registered | 3300 Oak Lawn Ave Ste 102, Dallas, TX 75219-4236 | 2020-07-30 |
| 1083222020 | Reena Woolley | Dietitian, Registered | 5747 Sadler Cir Apt 2329, Dallas, TX 75235-6618 | 2020-07-15 |
| 1255949376 | Nicole Finken | Dietitian, Registered | 2121 N Pearl St, Dallas, TX 75201-2492 | 2020-07-14 |
| 1407473879 | Lauren Taylor Lund | Dietitian, Registered | 5219 Maple Ave Apt 2209, Dallas, TX 75235-7466 | 2020-07-01 |
| 1437774247 | Brittany A Crump | Dietitian, Registered | 2121 N Pearl St Ste 300, Dallas, TX 75201-2494 | 2020-06-08 |
| 1417571886 | Taylor Morrison | Dietitian, Registered | 4429 Hyer St, Dallas, TX 75205-1050 | 2020-06-02 |
| 1457974057 | Cammie Sharp | Dietitian, Registered | 17060 Dallas Pkwy Ste 213, Dallas, TX 75248-1900 | 2020-05-19 |
| Find all providers in DALLAS | ||||
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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.