Active NPI
Shannon Mahoney Cottrell, RD, LD
- Registered Dietitian
- Greenville, SC
National Provider Identifier
1396514501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2181
- Practice address
- 701 Grove Rd
Greenville, SC 29605-4210 - Phone
- (864) 455-3879
- NPI assigned
- Dec 28, 2023
- Last updated
- Dec 28, 2023
- 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 | 2181 | SC | Primary |
Addresses
Primary practice location
701 Grove Rd
Greenville, SC 29605-4210
Mailing address
305 Crestwood Dr
Mauldin, SC 29662-2505
Other practice location 1
50 Bear Dr
Greenville, SC 29605-4458
Phone (864) 241-6222
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2181 | SC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Speechworks, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703721600000",
"number": "1396514501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 CRESTWOOD DR",
"city": "MAULDIN",
"state": "SC",
"postal_code": "296622505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 GROVE RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054210",
"telephone_number": "864-455-3879"
}
],
"practiceLocations": [
{
"address_1": "50 Bear Dr",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296054458",
"country_code": "US",
"telephone_number": "864-241-6222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COTTRELL",
"first_name": "SHANNON",
"middle_name": "MAHONEY",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-28",
"last_updated": "2023-12-28",
"certification_date": "2023-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "2181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.