Shannon L Wilson, MS,RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

2829 Wehrle Dr Ste 7B
Williamsville, NY 14221-7387

Phone

(716) 626-7415

NPI assigned

Dec 21, 2015

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 NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Custom Dietetics, PC

  • Registered Dietitian
  • Williamsville, NY
  • NPI 1063596880

  Dietitian, Registered

  Medicare reassignment NPD
• Natalie Greco Dietetics and Nutrition PLLC

  • Registered Dietitian
  • Williamsville, NY
  • NPI 1477937324

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775865600000",
    "number": "1336504141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 WEHRLE DR STE 7B",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217387",
            "telephone_number": "716-626-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 WEHRLE DR STE 7B",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217387",
            "telephone_number": "716-626-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SHANNON",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MS,RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-21",
        "last_updated": "2026-04-11",
        "certification_date": "2026-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Jermaine Wilson, M.D.
• Jared Jay Wilson, DO
• Jessica Cordelia Wilson, FNP-C
• Jolisa Wilson, LPN
• Lori Wilson, LPN
• Tiffany Wilson, LPN
• Dale Winchell, LCSW
• Andrea Wincowski, PA
• Kendra Wind, LPN
• Windsong Health Medical Alliance, PLLC

• Registered Dietitian in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2026; 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.