Active NPI
Victorine Haly Shores, MS, RD
- Registered Dietitian
- Denver, CO
National Provider Identifier
1356722532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1093657
- Practice address
- 2300 Walnut St
Apartment 207
Denver, CO 80205-2340 - Phone
- (703) 304-8814
- NPI assigned
- Jun 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1093657 | VA | Primary |
Addresses
Primary practice location
2300 Walnut St
Apartment 207
Denver, CO 80205-2340
Mailing address
2300 Walnut St
Apartment 207
Denver, CO 80205-2340
Phone (703) 304-8814
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1093657 | VA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434240000000",
"number": "1356722532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 WALNUT ST",
"address_2": "APARTMENT 207",
"city": "DENVER",
"state": "CO",
"postal_code": "802052340",
"telephone_number": "703-304-8814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 WALNUT ST",
"address_2": "APARTMENT 207",
"city": "DENVER",
"state": "CO",
"postal_code": "802052340",
"telephone_number": "703-304-8814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORES",
"first_name": "VICTORINE",
"middle_name": "HALY",
"name_prefix": "Ms.",
"credential": "MS, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-14",
"last_updated": "2015-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VA",
"license": "1093657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.