SHANNON DAVIS (NPI# 1780123646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780123646 |
| Entity Type | Individual |
| Full Name | SHANNON DAVIS |
| Credential | MS, RD |
| Practice Address |
4340 State Highway 80 Hartwick NY 13348-2714 |
| Practice Telephone | 6075478286 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 8674081 | NY | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235740341 | Shannon Davis | Technician | 330 Wilson St, Madison, WV 25130-1368 | 2020-08-12 |
| 1023642899 | Shannon Lee Davis | Nurse Practitioner | 1400 S Boston Ave, Tulsa, OK 74119-3612 | 2020-03-02 |
| 1780244707 | Shannon N. Davis | Case Management | 720 Beaufort St Apt 6, Laramie, WY 82072-1741 | 2019-06-20 |
| 1841666948 | Shannon Davis | Physical Therapist | 1485 Nettle Creek Way, Chula Vista, CA 91915-1632 | 2015-08-12 |
| 1588093132 | Shannon Davis | Counselor | 8504 Nbu, Prague, OK 74864-5024 | 2013-11-04 |
| 1144506122 | Shannon Marie Davis | Physical Therapist | 9106 Cool Hollow Ter, Hagerstown, MD 21740-8949 | 2011-10-22 |
| 1538485982 | Shannon Lea Davis | Occupational Therapist | 1181 Forest Bay Dr, Waterford, MI 48328-4289 | 2010-04-09 |
| 1366519316 | Shannon A Davis | Speech-Language Pathologist | 140 Pennock Landing Cir, Jupiter, FL 33458-4020 | 2006-11-28 |
| 1154401529 | Shannon Marie Davis | Counselor | 365 118th Ave Se Ste 110, Bellevue, WA 98005-3557 | 2006-10-17 |
| 1689764318 | Shannon Davis | Psychologist | 17034 Chesterfield Estates Ct, Chesterfield, MO 63005-4471 | 2006-10-13 |
| Street Address |
4340 STATE HIGHWAY 80 |
| City | HARTWICK |
| State | NY |
| Zip Code | 13348-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073877312 | Kathy M Broten | Specialist | 3559 State Highway 205, Hartwick, NY 13348-2005 | 2012-07-02 |
| 1285124867 | S&p Mobility, Inc. | Non-emergency Medical Transport (VAN) | 1592 County Highway 45, Hartwick, NY 13348-2015 | 2018-05-18 |
| 1801383807 | Maranatha Mission Home Network, Inc | Counselor | 2580 County Highway 11, Hartwick, NY 13348-2101 | 2018-04-16 |
| 1669491833 | Karrie Crippen | Social Worker | 343 Goddards Rd, Hartwick, NY 13348-2207 | 2006-07-19 |
| 1508217134 | Lisa Wehner | Nurse Practitioner | 225 Bristol Rd, Hartwick, NY 13348-2825 | 2016-06-24 |
| 1427202951 | Loraine Robla Nicholson | Speech-Language Pathologist | 232 Nersesian Rd, Hartwick, NY 13348-2902 | 2008-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285124867 | S&p Mobility, Inc. | Non-emergency Medical Transport (VAN) | 1592 County Highway 45, Hartwick, NY 13348-2015 | 2018-05-18 |
| 1801383807 | Maranatha Mission Home Network, Inc | Counselor | 2580 County Highway 11, Hartwick, NY 13348-2101 | 2018-04-16 |
| 1508217134 | Lisa Wehner | Nurse Practitioner | 225 Bristol Rd, Hartwick, NY 13348-2825 | 2016-06-24 |
| 1073877312 | Kathy M Broten | Specialist | 3559 State Highway 205, Hartwick, NY 13348-2005 | 2012-07-02 |
| 1427202951 | Loraine Robla Nicholson | Speech-Language Pathologist | 232 Nersesian Rd, Hartwick, NY 13348-2902 | 2008-11-11 |
| 1669491833 | Karrie Crippen | Social Worker | 343 Goddards Rd, Hartwick, NY 13348-2207 | 2006-07-19 |
| 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 |
|---|---|---|---|---|
| 1063013910 | Kelsey Rose Schaffstall | Dietitian, Registered | 52 Ashley Dr, West Seneca, NY 14224-4357 | 2020-11-06 |
| 1013518232 | Leslie Wayte Heineman | Dietitian, Registered | 220 Evandale Rd, Scarsdale, NY 10583-1530 | 2020-11-04 |
| 1205437423 | Christine Clement | Dietitian, Registered | 319 W 76th St Apt 4, New York, NY 10023-8045 | 2020-11-04 |
| 1578164745 | Suzanne Finkel | Dietitian, Registered | 215 Saint James Pl Apt 1a, Brooklyn, NY 11238-2374 | 2020-11-04 |
| 1427659788 | Sabroso Nutrition, LLC | Dietitian, Registered | 2818 Morris Ave, Bronx, NY 10468-2802 | 2020-11-03 |
| 1780285320 | Khy Ee Siew | Dietitian, Registered | 3 Horizon Rd, Great Neck, NY 11020-1143 | 2020-11-02 |
| 1699376285 | Naudia V Jones | Dietitian, Registered | 2111 Foster Ave Apt 1b, Brooklyn, NY 11210-1016 | 2020-11-02 |
| 1982203519 | Grace Young Ko | Dietitian, Registered | 15009 Northern Blvd Fl 4, Flushing, NY 11354-3888 | 2020-10-24 |
| 1538768247 | Rose Urkevich | Dietitian, Registered | 65 Lake Shore Dr, Troy, NY 12180-9722 | 2020-10-23 |
| 1083213763 | Sarah Bourdet | Dietitian, Registered | 4314 60th St Apt 4b, Woodside, NY 11377-4914 | 2020-10-22 |
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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.