SHANNON BREELAND (NPI# 1497354732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497354732 |
| Entity Type | Individual |
| Full Name | SHANNON BREELAND |
| Practice Address |
900 8th Ave Fort Worth TX 76104-3902 |
| Practice Telephone | 8173471980 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DT85174 | TX | Dietary & Nutritional Service Providers |
| Street Address |
900 8TH AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760468425 | Stephen W Farnes | Emergency Medicine | 900 8th Ave, Fort Worth, TX 76104-3902 | 2005-12-15 |
| 1134728462 | Hadley Brown | Dietitian, Registered | 900 8th Ave, Fort Worth, TX 76104-3902 | 2020-10-19 |
| 1942808175 | Jin Sook Sakai | Dietitian, Registered | 900 8th Ave, Fort Worth, TX 76104-3902 | 2020-10-09 |
| 1194322677 | Lisa Marie Presley | Dietitian, Registered | 900 8th Ave, Fort Worth, TX 76104-3902 | 2020-10-07 |
| 1205458783 | Andrew Hardy Cushing | Student in an Organized Health Care Education/Training Program | 900 8th Ave, Fort Worth, TX 76104-3902 | 2020-05-07 |
| 1639707854 | Jeremy Le | Student in an Organized Health Care Education/Training Program | 900 8th Ave, Fort Worth, TX 76104-3902 | 2020-04-01 |
| 1104454412 | Sonia Jiwani | Student in an Organized Health Care Education/Training Program | 900 8th Ave, Fort Worth, TX 76104-3902 | 2020-03-31 |
| 1750919080 | Jenny Trieu | Student in an Organized Health Care Education/Training Program | 900 8th Ave, Fort Worth, TX 76104-3902 | 2020-03-31 |
| 1417585951 | Gabriel Greenhaw | Student in an Organized Health Care Education/Training Program | 900 8th Ave, Fort Worth, TX 76104-3902 | 2020-03-30 |
| 1598392573 | Fadi Albahra | Student in an Organized Health Care Education/Training Program | 900 8th Ave, Fort Worth, TX 76104-3902 | 2020-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| 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 |
|---|---|---|---|---|
| 1568076396 | Paige M Freeman | Dietitian, Registered | 150 Boland St Apt 409, Fort Worth, TX 76107-1214 | 2020-08-31 |
| 1891321220 | Petra P Rack | Dietitian, Registered | 2601 S University Dr, Fort Worth, TX 76109-1149 | 2020-03-17 |
| 1043865751 | Ngoc Anh Thu Ho | Dietitian, Registered | 2200 W Lowden St Apt 15, Fort Worth, TX 76110-2810 | 2019-08-08 |
| 1346808698 | Baillie Adrian Troskot | Dietitian, Registered | 1401 Ballinger St, Fort Worth, TX 76102-5903 | 2019-06-02 |
| 1275096364 | Teresa L Wagner | Dietitian, Registered | 5841 Recreation Dr Apt 2404, Fort Worth, TX 76109-1068 | 2019-04-08 |
| 1316403595 | Gregory Michael Carr Jr. | Dietitian, Registered | 5000 Cobham Way Apt 325, Fort Worth, TX 76132-6204 | 2019-02-13 |
| 1285131250 | Kaitlin Legler | Dietitian, Registered | 9637 Rosina Trl, Fort Worth, TX 76126-2245 | 2018-04-06 |
| 1295235356 | Meghan Elise Martinson | Dietitian, Registered | 653 Bareback Ln, Fort Worth, TX 76131-3121 | 2018-02-15 |
| 1124547955 | Allie Jo Taschuk | Dietitian, Registered | 2201 Se Loop 820 Rm 2n-121, Fort Worth, TX 76119-5863 | 2017-09-13 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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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.