Shawnee M. Coppersmith, RD LDN/LD
Individual provider Active NPI Registered Dietitian · Hollidaysburg, PA
NPI 1275540478 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1275540478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- DN003422 (PA)
- Practice address
- 15 South Montgomery Street
Lytle Behavioral Health
Hollidaysburg, PA 16648 - Phone
- (814) 696-3277
- Fax
- (814) 695-5307
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lytle Behavioral Health Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN003422 | PA | Yes |
Addresses
Primary practice location
15 South Montgomery Street
Lytle Behavioral Health
Hollidaysburg, PA 16648
Mailing address
532 Walnut St
Hollidaysburg, PA 16648-1530
Phone (814) 931-3363
Other providers in Hollidaysburg, PA
- Dulin W Clark
- Kelsey Clark
- Adrian Clayton
- Community Case Management, LLC
- Derik M Comperatore
- Cornerstone Caregiving East LLC
- Cecilia M Cortes Rogers
- Miranda Nichole Coury
- Victoria Elizabeth Crabtree
- Wendy Lane Crayosky
All providers in Hollidaysburg, PA · Registered Dietitian in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.