Shannon Raymond, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN005735 Issued in PA

Practice address

4099 William Penn Hwy Ste 202
Monroeville, PA 15146-2512

Phone

(412) 372-1400

NPI assigned

Jan 21, 2016

Last updated

Jul 13, 2021By 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)

Enrolled

State licenses

Practice roles

Locations

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.

• Inspird Nutrition Consulting, LLC

  • Registered Dietitian
  • Millvale, PA
  • NPI 1003201252

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1164889259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MARY LUE DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152231402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4099 WILLIAM PENN HWY STE 202",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462512",
            "telephone_number": "412-372-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 5th Ave",
            "address_2": "Suite 1B, Room 145-B",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152133403",
            "country_code": "US",
            "telephone_number": "412-647-0677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "SHANNON",
        "credential": "RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN005735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Quietson Ravano, MD
• Aaron Jose Ravelo Jimenez, MD
• Brooke Nicole Rawls, PH.D., LCSW
• Zachary Allen Ray
• Julia M Rayburg
• Cassandra Skye Read, M.D.
• Recovery Centers of America
• Sugandhi Reddy, MD
• James T Redshaw Jr., MD
• Christina A Reed, CRNP

• Registered Dietitian in Monroeville, PA
• Providers in Monroeville, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.