Active NPI
Shannon Tracy Guthrie, RD, LDN
- Registered Dietitian
- Beaufort, NC
National Provider Identifier
1144389784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L002980
- Practice address
- 225 Bridgewater Dr
Beaufort, NC 28516-1650 - Phone
- (252) 269-4198
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L002980 | NC | Primary |
Addresses
Primary practice location
225 Bridgewater Dr
Beaufort, NC 28516-1650
Mailing address
225 Bridgewater Dr
Beaufort, NC 28516-1650
Phone (252) 269-4198
Other practice location 1
3500 Arendell St
Morehead City, NC 28557-2901
Phone (252) 808-6115
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L002980 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perfect Storm Solutions, LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sleep Disorder Diagnostic Clinic/Center
- New Bern, NC
- NPI 1033801204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1144389784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 BRIDGEWATER DR",
"city": "BEAUFORT",
"state": "NC",
"postal_code": "285161650",
"telephone_number": "252-269-4198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 BRIDGEWATER DR",
"city": "BEAUFORT",
"state": "NC",
"postal_code": "285161650",
"telephone_number": "252-269-4198"
}
],
"practiceLocations": [
{
"address_1": "3500 Arendell St",
"address_purpose": "LOCATION",
"city": "Morehead City",
"state": "NC",
"postal_code": "285572901",
"country_code": "US",
"telephone_number": "252-808-6115",
"fax_number": "252-808-6920",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTHRIE",
"first_name": "SHANNON",
"middle_name": "TRACY",
"name_prefix": "Miss",
"credential": "RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L002980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.