Shannon M Wiederholt in Johnson City - Dietitian, Registered
Shannon M Wiederholt - NPI 1972647287
Shannon M Wiederholt is a Dietitian, Registered in Johnson City, Tennessee. Shannon M Wiederholt practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Shannon M Wiederholt is 1972647287. The last update date is 2007-07-08.
Shannon M Wiederholt's current location address is 408 N State Of Franklin Rd, Johnson City, Tennessee. You can contact this provider via phone number 4234618880 and fax number 4234618887. The mailing address for Shannon M Wiederholt is 408 N State Of Franklin Rd, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon M Wiederholt |
|---|---|
| Address | 408 N State Of Franklin Rd, Johnson City, Tennessee |
| Phone Number | 4234618880 |
| Fax Number | 4234618887 |
| Sole Proprietor | N |
| Credentials | RD,LDN,CDE |
NPI Number Detail
| NPI Number | 1972647287 |
|---|---|
| Provider Enumeration Date | 2007-02-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 408 N State Of Franklin Rd |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376046089 |
| Phone Number | 4234618880 |
| Fax Number | 4234618887 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 1075 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Shannon M Wiederholt?
The Shannon M Wiederholt has been issued the NPI (National Provider Identifier) 1972647287 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Shannon M Wiederholt is physically located?
The Shannon M Wiederholt is situated at the following address: 408 N State Of Franklin Rd, Johnson City, TN 376046089.
What is the Shannon M Wiederholt's area of specialization and corresponding taxonomy classification?
The Shannon M Wiederholt'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 Shannon M Wiederholt receive its 1972647287 assignment from the Centers for Medicare & Medicaid Services?
The Shannon M Wiederholt was assigned its 1972647287 by the Centers for Medicare & Medicaid Services on 2007-02-19.
When was the information related to Shannon M Wiederholt most recently updated or refreshed?
The details pertaining to the Shannon M Wiederholt, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.