SHANNON GRAY (NPI# 1730730300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730730300 |
| Entity Type | Individual |
| Full Name | SHANNON GRAY |
| Credential | MS, RD, LD |
| Practice Address |
12 Paoli Pike Paoli PA 19301-1854 |
| Mailing Address |
794 Three Fox Ln West Chester PA 19380-2015 |
| Practice Telephone | 6108831786 |
| Mailing Telephone | 6108831786 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DN006897 | PA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205366705 | Shannon Ann Gray | Case Manager/Care Coordinator | 1542 E 74th St, Tulsa, OK 74136-7334 | 2017-06-15 |
| 1962771626 | Shannon Marie Gray | Counselor | Highway 25 W, Pittsburgh, KY 40755 | 2011-12-23 |
| 1316255441 | Shannon Demetris Gray | Licensed Vocational Nurse | 2290 Willowbrook Ln, Perris, CA 92571-3517 | 2010-09-23 |
| 1699319020 | Shannon Renae Gray | Chore Provider | 2670 Crimson Canyon Dr Ste 150, Las Vegas, NV 89128-0848 | 2019-10-29 |
| 1750898714 | Shannon Gray | Clinic/Center | 605 N Gilbert Rd, Mesa, AZ 85203-6629 | 2017-12-29 |
| 1497267249 | Shannon Elizabeth Gray | Pediatrics | 9151 Ne 81st Ter Ste 240, Kansas City, MO 64158-1307 | 2017-11-02 |
| 1982142469 | Shannon Gray | Physical Therapy Assistant | 2200 Conner Rd, Hebron, KY 41048-8142 | 2017-02-06 |
| 1568827749 | Shannon K. Gray | Pharmacist | 1594 Freedom Blvd, Suite 102 B, Florence, SC 29505-6046 | 2015-12-15 |
| 1538533419 | Shannon Gray | Counselor | 12890 Quinta Way, Desert Hot Springs, CA 92240-4852 | 2015-11-16 |
| 1992011282 | Shannon E Gray | Physical Therapist | 1971 Western Ave, Albany, NY 12203-5066 | 2010-08-24 |
| Street Address |
12 PAOLI PIKE |
| City | PAOLI |
| State | PA |
| Zip Code | 19301-1854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280333 | Mary Callery | Physical Therapy Assistant | 16 Industrial Blvd., Ste. 101, Paoli, PA 19301 | 2020-06-17 |
| 1871097519 | Daniel Malloy-good | Social Worker | 45 Darby Rd Ste E4, Paoli, PA 19301 | 2018-03-19 |
| 1306354774 | Patricia Obilo-azandegbe | Counselor | 30 S Valley Rd Ste 101, Paoli, PA 19301 | 2018-01-18 |
| 1275992877 | Jessica Bernard | Physical Therapist | 40 Darby Rd Ste 1, Paoli, PA 19301 | 2016-02-11 |
| 1730576364 | Ushma Sheth | Podiatrist | 250 W Lancaster Ave Ste 225, Paoli, PA 19301 | 2015-04-21 |
| 1619371432 | Miriam Leslie Brewer | Physical Therapist | 195 W Lancaster Ave #3, Paoli, PA 19301 | 2014-10-22 |
| 1447665393 | Matthew Rementer | Podiatrist | 254 West Lancaster Ave, Paoli, PA 19301 | 2014-06-29 |
| 1720490915 | Edward Anthony Romero | Surgery | 255 W Lancaster Ave Ste 332, Paoli, PA 19301 | 2014-05-22 |
| 1285053421 | Jose Ethan Pulido | Urology | 2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 | 2014-04-15 |
| 1093065849 | Kathleen M Canfield | Physician Assistant | 11 Industrial Blvd., Ste 204, Paoli Pointe Med. Office Bldg, Paoli, PA 19301 | 2012-09-19 |
| Find all providers in zip 19301 | ||||
| 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 |
|---|---|---|---|---|
| 1497187520 | Caitlin Marie Morgan | Dietitian, Registered | 53 Darby Rd, Paoli, PA 19301-1415 | 2013-07-31 |
| 1346559804 | Wellness, Nutrition, & Education, LLC. | Dietitian, Registered | 53 Darby Road, Paoli, PA 19301-0846 | 2010-10-01 |
| 1275050601 | Sarah Lauren Snyder | Dietitian, Registered | 53 Darby Rd, Paoli, PA 19301-1472 | 2017-08-25 |
| 1346604915 | Julie L Zimmerman | Dietitian, Registered | 53 Darby Rd, Paoli, PA 19301-1472 | 2016-04-11 |
| 1407180854 | Rachel L Petticord | Dietitian, Registered | 1440 Russell Rd, Paoli, PA 19301-1236 | 2009-10-01 |
| 1053574079 | Radana Remillard | Dietitian, Registered | 1440 Russell Rd, Paoli, PA 19301-1236 | 2008-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417593 | April Christine Hawkins | Dietitian, Registered | 408 Blacklatch Ln, Camp Hill, PA 17011-8414 | 2020-11-03 |
| 1184225757 | Aleaha Lynn Wacker | Dietitian, Registered | 95 Rocky View Dr, Hawley, PA 18428-4535 | 2020-11-02 |
| 1518568088 | Laura Rose Alfieri | Dietitian, Registered | 850 E Water Street Ext, Smethport, PA 16749-2024 | 2020-11-02 |
| 1679174122 | Erika Marie Johnson | Dietitian, Registered | 1111 Franklin St Ste 180, Johnstown, PA 15905-4341 | 2020-11-02 |
| 1184224206 | Madison Demoss | Dietitian, Registered | 43 Brinker Dr, Doylestown, PA 18901-7008 | 2020-10-28 |
| 1124628201 | Shannon Lynch | Dietitian, Registered | 8 E Pine St Apt 1, Enola, PA 17025-2827 | 2020-10-28 |
| 1205434818 | Shannan Marie Stewart | Dietitian, Registered | 770 Miles Rd Ste 1, West Chester, PA 19380-1950 | 2020-10-15 |
| 1992303135 | Sneha Lakhotia | Dietitian, Registered | 200 Possum Way, Clarks Green, PA 18411-8988 | 2020-10-10 |
| 1407453210 | Susan Anne Zikos | Dietitian, Registered | 229 Edelweiss Dr, Wexford, PA 15090-9454 | 2020-10-05 |
| 1033716832 | Anna Opalko | Dietitian, Registered | 504 Philmar Ct Apt B, Springfield, PA 19064-3065 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
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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.