Shea Noelle Looloian, RD LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN004886 Issued in PA

Practice address

355 N 21St St Ste 208
Camp Hill, PA 17011-3707

Phone

(717) 836-0131

NPI assigned

Jul 27, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1407529357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 OLD PIONEER RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112049",
            "telephone_number": "913-579-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 N 21ST ST STE 208",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170113707",
            "telephone_number": "717-836-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOLOIAN",
        "first_name": "SHEA",
        "middle_name": "NOELLE",
        "credential": "RD LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN004886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNKNOWN",
            "identifier": "DN004886",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Loforte, RN
• Lesley Kubisiak Logan, PSYD
• Abigail Long, M.S., NCC
• Beulah Ann Long, CRNP
• James Downey Long, M.D.
• Kaylee Drew Lopez
• Magdalena Lopez, RN
• Ricardo Lopez, RN
• Stacy Lee Lord, RN
• Irie M. Lott, RN, MSN

• Registered Dietitian in Camp Hill, PA
• Providers in Camp Hill, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.