Jennifer Shapiro, RDN
Individual provider Active NPI Registered Dietitian · White Marsh, MD
NPI 1386280659 · NPPES record last updated Feb 7, 2021
Key facts
- NPI
- 1386280659
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 009999 (NY)
- Practice address
- 5430 Campbell Blvd Ste 205
White Marsh, MD 21162-5504 - Phone
- (410) 933-8800
- NPI assigned
- Nov 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
-
Mark Allen Young, MD,MBA,FACP
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5430 Campbell Blvd
Suite 205
White Marsh, MD 21162-5504
Phone (410) 933-8800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200528001300 | MD | Practitioner - Registered Dietitian Or Nutrition Professional | 4688095722 |
Reassigns benefits to 1 organization Practice locations: White Marsh, MD |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009999 | NY | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Shapiro Nutrition LLC | Dietitian, Registered | Current |
Accepting new patients |
Locations
5430 Campbell Blvd
Ste 205
White Marsh, MD 21162
Phone (410) 764-6132
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 009999 | NY | Yes |
Addresses
Primary practice location
5430 Campbell Blvd Ste 205
White Marsh, MD 21162-5504
Mailing address
3409 Shelburne Rd
Baltimore, MD 21208-5628
Phone (410) 608-2141
Other providers in White Marsh, MD
- Ritu Bhambhani LLC
- Rebecca Dawn Rock
- David S Sandler
- Sudhir Sekhsaria
- Sade Sellars
- Nicole Latasha Shell
- Sandra Shih
- Sinai Hospital of Baltimore, Inc.
- Kassie Sines
- Sarbjit Singh
All providers in White Marsh, MD · Registered Dietitian in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.