Melissa Shannon in Detroit - Dietitian, Registered
Melissa Shannon - NPI 1245393495
Melissa Shannon is a Dietitian, Registered in Detroit, Michigan. Melissa Shannon practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Melissa Shannon is 1245393495. The last update date is 2007-07-13.
Melissa Shannon's current location address is 4646 John R St, Detroit, Michigan. You can contact this provider via phone number 3135761000. The mailing address for Melissa Shannon is 4646 John R St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa Shannon |
|---|---|
| Address | 4646 John R St, Detroit, Michigan |
| Phone Number | 3135761000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | R.D. |
NPI Number Detail
| NPI Number | 1245393495 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2007-07-13 |
Provider Mailing Address Detail
| Address | 4646 John R St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482011916 |
| Phone Number | 3135761000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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What is the unique 10-digit identification code assigned to Melissa Shannon by the Centers for Medicare & Medicaid Services?
The Melissa Shannon has been issued the NPI (National Provider Identifier) 1245393495, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Melissa Shannon located?
The Melissa Shannon is located at 4646 John R St, Detroit, MI 482011916.
What is the Melissa Shannon's area of specialization and corresponding taxonomy classification?
The Melissa Shannon's specialty field is Dietitian, Registered, and it falls under the taxonomy code 133V00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1245393495 to Melissa Shannon?
The Centers for Medicare & Medicaid Services originally issued the 1245393495 to Melissa Shannon on 2006-12-19.
When was the information pertaining to Melissa Shannon most recently updated or revised?
The details related to Melissa Shannon, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-13.
NPI Number: 1902898141
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