Shannon Busby Bagga, RDN, LD
Individual provider Active NPI Registered Dietitian · Atlanta, GA
NPI 1033716774 · NPPES record last updated Oct 6, 2020
Key facts
- NPI
- 1033716774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LD004548 (GA)
- Practice address
- 1806 Dekalb Ave NE
Atlanta, GA 30307 - Phone
- (404) 483-8946
- NPI assigned
- Oct 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD004548 | GA | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD004548 | GA | Yes |
Addresses
Primary practice location
1806 Dekalb Ave NE
Atlanta, GA 30307
Mailing address
1806 Dekalb Ave NE
Atlanta, GA 30307
Phone (404) 483-8946
Other names
- Shannon Leigh Busby
Other providers in Atlanta, GA
- Robert G Baeten II
- Eduardo A Baetti
- Laura Baeumel
- Maria Rose Baez
- Stephen Paul Baffic
- Margaret Scheuerman Baggett
- Mary Caitlin Baggett
- Olivia Baggett
- Adel Bagh
- Elham Bagheri
All providers in Atlanta, GA · Registered Dietitian in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.