Mary Ann Shannon, RD. LD.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

443568 Issued in IL

Practice address

1801 Holly Ave
Darien, IL 60561-3516

Phone

(630) 347-0526

NPI assigned

May 20, 2015

Last updated

May 20, 2015By 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 IL

Enrollment records 1

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.

• Ad Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
  • NPI 1629015904

  Dietitian, Registered

  Medicare reassignment NPD
• Mobile Medical Consultants, PLLC

  dba Itinerant Primary Care

  • General Practice Physician
  • Dallas, TX
  • NPI 1346839859
  NPD (past)

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1245619493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 HOLLY AVE",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605613516",
            "telephone_number": "630-347-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 HOLLY AVE",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605613516",
            "telephone_number": "630-347-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "MARY ANN",
        "name_prefix": "Mrs.",
        "credential": "RD. LD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "443568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gianna Senese
• Hetal Shah, O.D.
• Miti G Shah, DPT
• Pallavi Jagdish Shah, B.S. IN PHARMACY
• Talha Shamsi
• Megan Shelton, OTR/L
• Niket S Sheth, DDS
• Shamkant P Sheth, DDS
• Teresa Lynnell Shiley, RN
• Padamjit Kaur Singh, M.D.

• Registered Dietitian in Darien, IL
• Providers in Darien, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.