Shannon Ingalls Holton, MPH, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L002544 Issued in NC

Practice address

201 Government Cir
Greenville, NC 27834-8198

Phone

(252) 902-2387

Fax

(252) 413-1446

NPI assigned

Jul 31, 2014

Last updated

Sep 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Pitt Office of Auditor

  • State or Local Public Health Clinic/Center
  • Greenville, NC
  • NPI 1306904917
  NPD (past)

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1144638495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 KAY RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278589541",
            "telephone_number": "252-751-9096",
            "fax_number": "888-457-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GOVERNMENT CIR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278348198",
            "telephone_number": "252-902-2387",
            "fax_number": "252-413-1446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2403 Kay Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278589541",
            "country_code": "US",
            "telephone_number": "252-751-9096",
            "fax_number": "888-457-9647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLTON",
        "first_name": "SHANNON",
        "middle_name": "INGALLS",
        "name_prefix": "Mrs.",
        "credential": "MPH, RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L002544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent C Holt, RCP
• Kimberly V. Holt, OTR/L
• Mason Scott Holtel, MD
• John Frederick Holter, M.D.
• Jessica Denise Holton, MSW, LCSW, LCAS
• Home Delivery Incontinent Supplies Co. Inc. (Hdis)
• Home Kourt Advantage, LLC
• Home Life Care, Inc.
• Nissa Harrell Homes, MS, CCC-SLP
• Hannah Homesley

• Registered Dietitian in Greenville, NC
• Providers in Greenville, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.