Active NPI
Dena B Shields, RD
- Registered Dietitian
- Bedford, NH
National Provider Identifier
1386647238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 401
- Practice address
- 360 Route 101
Ste 10
Bedford, NH 03110-5031 - Phone
- (603) 472-2846
- Fax
- (603) 472-2872
- NPI assigned
- May 24, 2005
- Sex
- Female
- 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 | 401 | NH | Primary |
| Registered Dietitian | 133V00000X | 2261 | MA |
Addresses
Primary practice location
360 Route 101
Ste 10
Bedford, NH 03110-5031
Mailing address
360 Route 101
Ste 10
Bedford, NH 03110-5031
Phone (603) 472-2846
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 401 | NH | MD | Social Worker |
| 2261 | MA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386647238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 ROUTE 101",
"address_2": "STE 10",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031105031",
"telephone_number": "603-472-2846",
"fax_number": "603-472-2872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 ROUTE 101",
"address_2": "STE 10",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031105031",
"telephone_number": "603-472-2846",
"fax_number": "603-472-2872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS",
"first_name": "DENA",
"middle_name": "B",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NH",
"license": "401",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "2261",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.