Katherine Mary Shannon-Espinoza, MSRD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

708288 Issued in NY

Practice address

31 Broadway
Greenlawn, NY 11740-1320

Phone

(631) 897-7713

NPI assigned

Aug 15, 2018

Last updated

Aug 15, 2018By 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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Li Nutritionist PLLC

  • Registered Dietitian
  • Roslyn Heights, NY
  • NPI 1629651989

  Dietitian, Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1174003529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MILLAND DR",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682834",
            "telephone_number": "631-897-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 BROADWAY",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401320",
            "telephone_number": "631-897-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON-ESPINOZA",
        "first_name": "KATHERINE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "MSRD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "708288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Sassone, MS ED.
• George M. Schmitz, M.D.
• Scott Gralla Acupuncture LLC
• Tiffany M Segovia
• Vaish Sekar, M.D.
• Megan Shukri, PA-C
• Rachel Siegel-Joffe, LCSW
• Melissa Singh, MD
• Reese Sipala
• Jacqueline Sivan, MS CCC/SLP

• Registered Dietitian in Greenlawn, NY
• Providers in Greenlawn, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.