SHANNON RODMAN-COSTLOW (NPI# 1720531825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720531825 |
| Entity Type | Individual |
| Full Name | SHANNON RODMAN-COSTLOW |
| Credential | RD LD |
| Practice Address |
175 Crossing Blvd Framingham MA 01702-4475 |
| Practice Telephone | (774) 405-4016 |
| Mailing Telephone | (774) 405-4016 |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2017-05-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD003923 | GA | Dietary & Nutritional Service Providers |
| Street Address |
175 CROSSING BLVD |
| City | FRAMINGHAM |
| State | MA |
| Zip Code | 01702-4475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518328905 | Boston Heart Diagnostics Corporation Mnt | Clinical Medical Laboratory | 175 Crossing Blvd, Framingham, MA 01702-4475 | 2016-03-11 |
| 1700261484 | Boston Heart Diagnostics Corp | Clinical Medical Laboratory | 175 Crossing Blvd, Suite 100, Framingham, MA 01702-4475 | 2015-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720635295 | Astrid Bautista | Counselor | 345 Waverly Street, Framingham, MA 01702 | 2019-08-20 |
| 1598223588 | Roshini Mary Mathew | Counselor | 298 Howard Street Suite 100, Framingham, MA 01702 | 2019-03-08 |
| 1114401411 | Raquel Suzanne Martha Woodard | Social Worker | 475 Franklin St Suite 101 Adoption Choices, Framingham, MA 01702 | 2018-09-21 |
| 1457840720 | Randine Elizabeth Parry | Psychologist | 15 Cherry Oca Ln, Framingham, MA 01702 | 2018-05-02 |
| 1043707664 | Amanda Coughlin | Social Worker | 475 Franklin St Ste 101, Framingham, MA 01702 | 2018-04-19 |
| 1649799438 | Davis Square Dental Specialists LLC | Dentist | 509 Concord Street, Framingham, MA 01702 | 2017-09-13 |
| 1801315775 | Zahra Majidi | Developmental Therapist | Criterion, 651 Franklin St., Framimgham, MA 01702 | 2017-09-12 |
| 1356893119 | Angelic Love Home Care | Home Health | 47 Melen St, Framingham, MA 01702 | 2016-10-27 |
| 1598116634 | Katherine Mcclean | Nutritionist | 19 Linden St Apt D, Framingham, MA 01702 | 2016-06-30 |
| 1205282548 | Rafaela Dos Santos | Nurse Practitioner | 354 Waverly St., Framingham, MA 01702 | 2016-05-05 |
| Find all providers in zip 01702 | ||||
| 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 |
|---|---|---|---|---|
| 1699244376 | Clare Viglione | Dietitian, Registered | 24 Myrtle St Unit A, Framingham, MA 01702-6359 | 2018-11-25 |
| 1053895763 | Jamie Marissa Dannenberg | Dietitian, Registered | 5 Edgell Rd Ste 39, Framingham, MA 01701-4868 | 2018-09-18 |
| 1831642842 | Erin Langbein | Dietitian, Registered | 175 Crossing Blvd Ste 100, Framingham, MA 01702-4472 | 2016-07-26 |
| 1245632314 | Ming Cheung | Dietitian, Registered | 220 Salem End Rd, Framingham, MA 01702-2420 | 2014-09-20 |
| 1376817098 | Karen Grontzos | Dietitian, Registered | 41 Beacon St, Framingham, MA 01701-4900 | 2012-02-27 |
| 1831497577 | Cindy Ann Crowninshield | Dietitian, Registered | 969 Concord St, Suite 12, Framingham, MA 01701-4687 | 2011-03-04 |
| 1205084795 | Ashley Bade Cronin | Dietitian, Registered | 965 Concord St, Framingham, MA 01701-4685 | 2008-09-09 |
| 1982880530 | Lisa Elaine Smith | Dietitian, Registered | 10 Heather Dr, Framingham, MA 01701-7807 | 2008-01-14 |
| 1124639448 | Kristin Repella | Dietitian, Registered | 100 State St, Framingham, MA 01702-2499 | 2020-08-11 |
| 1770116402 | Elena Vinokurova- Shannon | Dietitian, Registered | 24 Myrtle St, Framingham, MA 01702-6359 | 2020-02-21 |
| Find all providers in FRAMINGHAM | ||||
| City | FRAMINGHAM |
| Zip Code | 01702 |
Please comment or provide details below to improve the information on SHANNON RODMAN-COSTLOW.
| 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.