Shannon Marie Tolbert in Johnson City - Dietitian, Registered

Shannon Marie Tolbert - NPI 1174722029

Shannon Marie Tolbert is a Dietitian, Registered in Johnson City, Tennessee. Shannon Marie Tolbert practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Shannon Marie Tolbert is 1174722029. The last update date is 2008-07-31.

Shannon Marie Tolbert's current location address is 415 State Of Franklin Rd, Johnson City, Tennessee. You can contact this provider via phone number 4239752200 and fax number 4239752210. The mailing address for Shannon Marie Tolbert is 415 State Of Franklin Rd, Johnson City, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Shannon Marie Tolbert
Address 415 State Of Franklin Rd, Johnson City, Tennessee
Phone Number 4239752200
Fax Number 4239752210
Sole Proprietor N
Credentials MS, RD, LD

NPI Number Detail

NPI Number 1174722029
Provider Enumeration Date 2007-07-12
Last Updated Date 2008-07-31

Provider Mailing Address Detail

Address 415 State Of Franklin Rd
City Johnson City
State Tennessee (TN)
Post Code 376046034
Phone Number 4239752200
Fax Number 4239752210

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 917714
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PENDING TN --

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FAQs about Shannon Marie Tolbert

What is the unique identification code assigned to Shannon Marie Tolbert by the Centers for Medicare & Medicaid Services?

The Shannon Marie Tolbert has been issued the NPI (National Provider Identifier) 1174722029. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Shannon Marie Tolbert?

The Shannon Marie Tolbert is physically situated at 415 State Of Franklin Rd, in the city of Johnson City, state of TN, with the postal code 376046034.

What is the Shannon Marie Tolbert's area of specialization and corresponding taxonomy classification?

The Shannon Marie Tolbert'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 Marie Tolbert receive the assignment of its 1174722029 from the Centers for Medicare & Medicaid Services?

The Shannon Marie Tolbert was issued its 1174722029 by the Centers for Medicare & Medicaid Services on 2007-07-12.

As of what date were the details pertaining to Shannon Marie Tolbert last refreshed?

The information related to the Shannon Marie Tolbert, including its address, specialty, and other relevant details, was last updated on 2008-07-31.

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