Shana Alaine Sumner, MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD002781 Issued in GA

Practice address

541 Historic Hwy 441 North
Demorest, GA 30535

Phone

(706) 754-3113

NPI assigned

Nov 2, 2006

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174602148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 HABERSHAM HILLS CIR",
            "address_2": "# 105",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "305315319",
            "telephone_number": "706-499-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 HISTORIC HWY 441 NORTH",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "30535",
            "telephone_number": "706-754-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMNER",
        "first_name": "SHANA",
        "middle_name": "ALAINE",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD002781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anny Sosebee, NP-C
• James E Spoden, M.D.
• Kevin Aaron Stadlbauer, PT, DPT
• Kaye Herrin Stanley, PT
• Kevin Sullivan
• Ravin Batuk Talati, M.D
• Kelly Elizabeth Taylor, ANP
• Kristie D Taylor, NP-C
• Semere Tesfamariam, MD
• The Habersham County Senior Center

• Registered Dietitian in Demorest, GA
• Providers in Demorest, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.