Individual provider Active NPI

Carol Lee Shiner, RDN LDN

  • Registered Dietitian
  • Scranton, PA
National Provider Identifier
1134049265
Registry record updated Jul 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN004183 Issued in PA
Practice address
304 Crisp Ave
Scranton, PA 18504-9650
Phone
(570) 840-2249
NPI assigned
Jul 18, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN004183 PA Primary

Addresses

Primary practice location

304 Crisp Ave
Scranton, PA 18504-9650

Mailing address

304 Crisp Ave
Scranton, PA 18504-9650
Phone (570) 840-2249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1784332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784332800000",
    "number": "1134049265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 CRISP AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185049650",
            "telephone_number": "570-840-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 CRISP AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185049650",
            "telephone_number": "570-840-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINER",
        "first_name": "CAROL",
        "middle_name": "LEE",
        "credential": "RDN LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-18",
        "last_updated": "2026-07-18",
        "certification_date": "2026-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN004183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.