Active NPI
Shawn Patrick Tobin, MA R.D. L.D.N.
- Pediatric Nutrition Registered Dietitian
- Philadelphia, PA
National Provider Identifier
1356649644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- License
- DN002257
- Practice address
- 34TH Street and Civic Center Blvd
Children's Hospital of Philadelphia CSH RM 102
Philadelphia, PA 19104-0000 - Phone
- (267) 426-8784
- Fax
- (215) 590-9338
- NPI assigned
- Mar 10, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN002257 | PA | |
| Pediatric Nutrition Registered Dietitian | 133VN1004X | DN002257 | PA | Primary |
Addresses
Primary practice location
34TH Street and Civic Center Blvd
Children's Hospital of Philadelphia CSH RM 102
Philadelphia, PA 19104-0000
Mailing address
34TH Street and Civic Center Blvd
Children's Hospital of Philadelphia CSH RM 102
Philadelphia, PA 19104-0000
Phone (267) 426-8784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN002257 | PA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299715200000",
"number": "1356649644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34TH STREET AND CIVIC CENTER BLVD",
"address_2": "CHILDREN'S HOSPITAL OF PHILADELPHIA CSH RM 102",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191040000",
"telephone_number": "267-426-8784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34TH STREET AND CIVIC CENTER BLVD",
"address_2": "CHILDREN'S HOSPITAL OF PHILADELPHIA CSH RM 102",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191040000",
"telephone_number": "267-426-8784",
"fax_number": "215-590-9338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBIN",
"first_name": "SHAWN",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "MA R.D. L.D.N.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-10",
"last_updated": "2011-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN002257",
"primary": false
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "PA",
"license": "DN002257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.