Active NPI
Shannon Cairns, RD, CDCES, LD
- Registered Dietitian
- New Philadelphia, OH
National Provider Identifier
1194340893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD.08669
- Practice address
- 1260 Monroe St NW Ste 1a
New Philadelphia, OH 44663-4147 - Phone
- (757) 650-6690
- NPI assigned
- Jun 9, 2020
- Sex
- Female
- Sole proprietor
- No
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 | LD.08669 | OH | Primary |
Addresses
Primary practice location
1260 Monroe St NW Ste 1a
New Philadelphia, OH 44663-4147
Mailing address
401 Granada Rd NW
Dellroy, OH 44620-9761
Phone (757) 650-6690
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD.08669 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1194340893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 GRANADA RD NW",
"city": "DELLROY",
"state": "OH",
"postal_code": "446209761",
"telephone_number": "757-650-6690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 MONROE ST NW STE 1A",
"city": "NEW PHILADELPHIA",
"state": "OH",
"postal_code": "446634147",
"telephone_number": "757-650-6690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAIRNS",
"first_name": "SHANNON",
"credential": "RD, CDCES, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-09",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD.08669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Philadelphia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.