Active NPI
Shannon C Henning, MS, RD, LD
- Registered Dietitian
- Corpus Christi, TX
National Provider Identifier
1245309764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 940832
- Practice address
- 8210 Radial CT
Corpus Christi, TX 78414-6455 - Phone
- (361) 218-0851
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 940832 | TX | Primary |
Addresses
Primary practice location
8210 Radial CT
Corpus Christi, TX 78414-6455
Mailing address
8210 Radial CT
Corpus Christi, TX 78414-6455
Phone (361) 218-0851
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 940832 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257206400000",
"number": "1245309764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8210 RADIAL CT",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784146455",
"telephone_number": "361-218-0851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8210 RADIAL CT",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784146455",
"telephone_number": "361-218-0851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNING",
"first_name": "SHANNON",
"middle_name": "C",
"credential": "MS, RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2009-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "940832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.