MRS. SHANNON L RENE (NPI# 1366784936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366784936 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON L RENE |
| Credential | R.D.,L.D. |
| Practice Address |
1400 W Hebron Pkwy Carrollton TX 75010-6515 |
| Practice Telephone | 2147895563 |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2013-03-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DT80836 | TX | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED HEALTH CARE | 1548506694 | 01 | |
| AETNA | 1548506694 | 01 | |
| TX | BLUE CROSS BLUE SHIELD OF TEXAS | 1548506694 | 01 |
| Street Address |
1400 W HEBRON PKWY |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75010-6515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548506694 | Trym Fitness LLC | Dietitian, Registered | 1400 W Hebron Pkwy, Carrollton, TX 75010-6515 | 2012-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
| 1184106411 | Cindy T Vu | Occupational Therapy Assistant | 1877 Cheyenne, Carrollton, TX 75010 | 2018-09-04 |
| 1639686256 | Little Lantern Hospice LLC | Hospice Care, Community Based | 4541 North Josey Lane, Suite 110-b, Carrollton, TX 75010 | 2018-01-04 |
| 1235681610 | Kahini Shah | Physical Therapist | 1012 W Hebron Pkwy Ste 124, Carrollton, TX 75010 | 2016-11-01 |
| 1881148849 | Wais Azesh | Dentist | 1233 Apache Lake Dr, Carrollton, TX 75010 | 2016-08-08 |
| 1225485055 | Julia Buckelew | Physical Therapist | 4100 Fairway Dr Ste 400, Carrollton, TX 75010 | 2016-05-23 |
| 1811355639 | Fastpass Ucc, Pllc | Clinic/Center | 4228 N Josey Ln Ste 150, Carrollton, TX 75010 | 2016-02-08 |
| 1326404393 | Miaojuan Li | Nurse Practitioner | 4100 Fairway Dr Ste 300, Carrollton, TX 75010 | 2016-01-06 |
| 1912376112 | Envoy Hospice North LLC | Hospice Care, Community Based | 4040 Tx-121, Carrollton, TX 75010 | 2015-09-17 |
| 1932593936 | Lifeway Hospice, LLC | Hospice Care, Community Based | 4040 State Highway 121, Suite 140, Carrollton, TX 75010 | 2015-03-27 |
| Find all providers in zip 75010 | ||||
| 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 |
|---|---|---|---|---|
| 1962017921 | Leah Ann Shaw | Dietitian, Registered | 2211 High Country Dr, Carrollton, TX 75007-1701 | 2020-09-15 |
| 1669960886 | Cindy R. Hunter | Dietitian, Registered | 104 Stoney Way, Carrollton, GA 30116-5108 | 2018-04-23 |
| 1932575081 | Amy Elise Hays | Dietitian, Registered | 1111 S Main St Apt 3225, Carrollton, TX 75006-6267 | 2015-08-12 |
| 1356762108 | Mallory Hornsby | Dietitian, Registered | 309 Eleventh St, Carrollton, KY 41008-1587 | 2013-12-20 |
| 1164864583 | Jeneen Connolly | Dietitian, Registered | 2116 Marsh Ln Apt 1903, Carrollton, TX 75006-5196 | 2013-07-26 |
| 1548506694 | Trym Fitness LLC | Dietitian, Registered | 1400 W Hebron Pkwy, Carrollton, TX 75010-6515 | 2012-12-18 |
| 1679856298 | Timothy Mccomsey | Dietitian, Registered | 3626 Field Stone Dr, Carrollton, TX 75007-2788 | 2011-09-20 |
| 1356661045 | Joy T Robinson | Dietitian, Registered | 241 Robert K. Wilson Dr., Carrollton, AL 35447 | 2010-06-04 |
| 1396970083 | Carol Suzanne Ireton-jones | Dietitian, Registered | 1730 Countryside, Carrollton, TX 75007-1412 | 2009-05-25 |
| 1649426263 | Jennifer Marie Stervinou | Dietitian, Registered | 3330 Keller Springs Rd, Suite 205, Carrollton, TX 75006-5058 | 2008-08-14 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75010 |
Please comment or provide details below to improve the information on MRS. SHANNON L RENE.
| 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.