Individual provider Active NPI

Cheryl Shaw, RD

  • Registered Dietitian
  • Greenfield, IN
National Provider Identifier
1285965541
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
37000603A Issued in IN
Practice address
300 E Boyd Ave
Suite 100
Greenfield, IN 46140-2816
Phone
(317) 462-5252
Fax
(317) 462-8010
NPI assigned
Jan 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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 37000603A IN Primary

Addresses

Primary practice location

300 E Boyd Ave
Suite 100
Greenfield, IN 46140-2816

Mailing address

300 E Boyd Ave
Suite 100
Greenfield, IN 46140-2816
Phone (317) 462-5252

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100315000771 IN Practitioner - Registered Dietitian Or Nutrition Professional 5193850212 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37000603AINMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Indiana, LLC CurrentSince Mar 1, 2010 Accepting new patients
American Health Network of Indiana LLC CurrentSince Mar 1, 2010 Accepting new patients
American Health Network of Indiana, LLC Current Accepting new patients

Locations

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

300 E Boyd Ave
Ste 100
Greenfield, IN 46140
Phone (317) 208-3866

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

Organizations & group practices 3

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": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1285965541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E BOYD AVE",
            "address_2": "SUITE 100",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402816",
            "telephone_number": "317-462-5252",
            "fax_number": "317-462-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E BOYD AVE",
            "address_2": "SUITE 100",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402816",
            "telephone_number": "317-462-5252",
            "fax_number": "317-462-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "CHERYL",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-26",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37000603A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.