Individual provider Active NPI

Shannon Claire Svikhart, RD

  • Registered Dietitian
  • Baltimore, MD
National Provider Identifier
1275391534
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX6496 Issued in MD
Practice address
5603 Mattfeldt Ave
Baltimore, MD 21209-3712
Phone
(443) 822-9461
NPI assigned
Mar 11, 2024
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DX6496 MD Primary

Addresses

Primary practice location

5603 Mattfeldt Ave
Baltimore, MD 21209-3712

Mailing address

5603 Mattfeldt Ave
Baltimore, MD 21209-3712
Phone (443) 822-9461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240426000023 MD Practitioner - Registered Dietitian Or Nutrition Professional 0941640817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Nutrition Company LLCGroup PAC ID 2062804008, 3 clinicians

Practice addresses (Care Compare)

1829 Reisterstown Rd
Suite 350
Pikesville, MD 21208-7126
Phone (240) 448-6181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DX6496MDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Nutrition Company LLC Dietitian, Registered CurrentSince Apr 11, 2024 Accepting new patients

Locations

1829 Reisterstown Rd
Ste 350
Pikesville, MD 21208
Phone (443) 226-1676

3261 Old Washington Rd
Ste 2020
Waldorf, MD 20602
Phone (240) 419-2412

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1275391534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5603 MATTFELDT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093712",
            "telephone_number": "443-822-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5603 MATTFELDT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093712",
            "telephone_number": "443-822-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVIKHART",
        "first_name": "SHANNON",
        "middle_name": "CLAIRE",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX6496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.