SHANNON FITZGERALD (NPI# 1326012246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326012246 |
| Entity Type | Individual |
| Full Name | SHANNON FITZGERALD |
| Other Name | SHANNON ODONNELL |
| Credential | RD LD |
| Practice Address |
29000 Center Ridge Rd Sjws Dietary Services Westlake OH 44145 |
| Mailing Address |
6935 Treeline Dr Ste J Brecksville OH 44141 |
| Practice Telephone | 4408275588 |
| Mailing Telephone | 4407462220 |
| Mailing Fax Number | 4407463496 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | RD800228 | OH | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | LD3367 | OH | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730709486 | Shannon Kelly Fitzgerald | Registered Nurse | 1001 Main St Ste K-3502, Buffalo, NY 14203-1009 | 2020-04-23 |
| 1881229680 | Shannon Marie Fitzgerald | Social Worker | 12 Market Sq Apt 2, Amesbury, MA 01913-2442 | 2020-03-12 |
| 1316583826 | Shannon Fitzgerald | Behavior Technician | 6458 City West Pkwy, Eden Prairie, MN 55344-3245 | 2019-11-19 |
| 1922470475 | Shannon Fitzgerald | Behavioral Analyst | 2035 Sw 75th St Ste B, Gainesville, FL 32607-3425 | 2015-10-23 |
| 1356717607 | Shannon Bridget Fitzgerald | Nurse Practitioner | 4849 William Flynn Hwy, Allison Park, PA 15101-2319 | 2015-08-20 |
| 1821415936 | Shannon L. Fitzgerald | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2014-03-26 |
| 1942562095 | Shannon Marie Fitzgerald | Early Intervention Provider Agency | 597 3rd Ave, Troy, NY 12182-2509 | 2012-06-14 |
| 1033362595 | Shannon Marie Fitzgerald | Counselor | 44443 10th St W, Lancaster, CA 93534-3324 | 2008-10-28 |
| 1780674200 | Shannon Marie Fitzgerald | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2005-10-26 |
| Street Address |
29000 CENTER RIDGE RD SJWS DIETARY SERVICES |
| City | WESTLAKE |
| State | OH |
| Zip Code | 44145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255333670 | Roy E Seitz | Emergency Medicine | 29000 Center Ridge Rd, St John Medical Center, Westlake, OH 44145-5293 | 2005-08-15 |
| 1710500103 | Maxwell James Jentsch | Student in an Organized Health Care Education/Training Program | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2020-05-20 |
| 1619599586 | Fadel Alkacace | Anesthesiologist Assistant | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2020-05-13 |
| 1053932079 | Henry Blunk | Internal Medicine | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2020-04-30 |
| 1730709494 | Jessica Wells | Internal Medicine | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2020-04-23 |
| 1750910956 | Golnaz Lahsaee | Internal Medicine | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2020-04-08 |
| 1295364669 | Jessica Kallenborn | Student in an Organized Health Care Education/Training Program | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2020-04-07 |
| 1427687078 | Jordan Thomas Felice | Internal Medicine | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2020-04-06 |
| 1194354894 | Rachel Kamat | Student in an Organized Health Care Education/Training Program | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2020-04-04 |
| 1124667803 | Angela Yako | Nurse Anesthetist, Certified Registered | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2019-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720628902 | Inherent Basic Goodness Counseling, LLC | Social Worker | 24600 Center Ridge Road Suite 130, Westlake, OH 44145 | 2020-01-15 |
| 1700425030 | The Family Dentist of Westlake Jonathan J Klineman Dds Inc | Dentist | 26600 Detroit Rd Suite 230, Westlake, OH 44145 | 2020-01-03 |
| 1033772421 | Holding Space, LLC | Social Worker | 26404 Center Ridge Rd Building A1 Ste A7, Westlake, OH 44145 | 2019-04-21 |
| 1326532508 | Integrative Pain Care LLC | Durable Medical Equipment & Medical Supplies | 25200 Center Ridge Rd, Ste 3300, Westlake, OH 44145 | 2018-06-20 |
| 1841783990 | Wendy Lynn Wheeler | Counselor | 28263 Center Ridge Rd, Westlake, OH 44145 | 2018-06-13 |
| 1326557836 | Tiffany Manrodt | Social Worker | 24500 Center Ridge Road Bldg 4, #120, Westlake, OH 44145 | 2017-09-27 |
| 1639620792 | Stacy Ryan | Speech-Language Pathologist | 3057 Holly Lane, Westlake, OH 44145 | 2016-10-24 |
| 1790238954 | Kathleen Hanigosky | Pharmacist | 27175 Center Ridge Rd., Westlake, OH 44145 | 2016-07-25 |
| 1780073155 | Prominent Healthcare, Inc. | Community/Behavioral Health | 24650 Westlake Center Ridge Road, Westlake, OH 44145 | 2015-01-22 |
| 1902225022 | Amanda Brooke Abernathy | Physical Therapist | 850 Columbia Road, Suite #110, Westlake, OH 44145 | 2014-04-16 |
| Find all providers in zip 44145 | ||||
| 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 |
|---|---|---|---|---|
| 1205370996 | Mary Elizabeth Kavanagh | Dietitian, Registered | 2727 Wyndgate Ct, Westlake, OH 44145-2981 | 2016-12-14 |
| 1932556768 | Margaret Ann Robison | Dietitian, Registered | 26908 Detroit Rd Ste 100, Westlake, OH 44145-2392 | 2016-05-23 |
| 1912366360 | Alessia Russo | Dietitian, Registered | 1564 Winchester Dr, Apt 1564, Westlake, OH 44145-2114 | 2016-02-14 |
| 1881893360 | Megan Rizzi Reynolds | Dietitian, Registered | 1932 Sperrys Forge Trl, Westlake, OH 44145-2072 | 2007-07-13 |
| 1285178863 | Healthy Helpings Nutrition Services | Dietitian, Registered | 1991 Crocker Rd, Westlake, OH 44145-6969 | 2016-12-15 |
| 1518368034 | Julie Wise | Dietitian, Registered | 26908 Detroit Rd, Suite 200, Westlake, OH 44145-2398 | 2014-09-16 |
| 1174849723 | Lindsey Marie Faith | Dietitian, Registered | 26016 Detroit Rd, Westlake, OH 44145-2477 | 2010-04-07 |
| 1275783912 | Leslie A Shaw | Dietitian, Registered | 850 Columbia Rd, Suite 200, Westlake, OH 44145-1493 | 2008-09-30 |
| 1053533802 | Karen M Filipic | Dietitian, Registered | 29000 Center Ridge Rd, Westlake, OH 44145-5293 | 2007-05-02 |
| 1093845802 | Michele Zelina Hiatt | Dietitian, Registered | 26908 Detroit Rd, Suite 300, Westlake, OH 44145-2398 | 2007-03-07 |
| Find all providers in WESTLAKE | ||||
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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.