Shannon M McCarthy, RD
Individual provider Active NPI Registered Dietitian · Whitefish Bay, WI
NPI 1124891965 · NPPES record last updated Nov 8, 2023
Key facts
- NPI
- 1124891965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2635-29 (WI)
- Practice address
- 5018 N Hollywood Ave
Whitefish Bay, WI 53217-5601 - Phone
- (414) 699-3085
- NPI assigned
- Nov 2, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 2635-29 | WI | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2635-29 | WI | Yes |
Addresses
Primary practice location
5018 N Hollywood Ave
Whitefish Bay, WI 53217-5601
Mailing address
5018 N Hollywood Ave
Whitefish Bay, WI 53217-5601
Phone (414) 699-3085
Other providers in Whitefish Bay, WI
- Anna Mandella
- Kealy Marnell
- Megan Martens
- Benjamin Mattson
- Donna Corinne McCarthy
- Daniel Paul Merline
- Milwaukee Swallowing and Voice Specialists
- Mindara Modern Psychiatry LLC
- Iliana Monarrez
- Jordan A Moore
All providers in Whitefish Bay, WI · Registered Dietitian in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2023. 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.