Shannon South, FNTP

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Practice address

460 Manhattan Ave Apt 2a
Brooklyn, NY 11222-4939

Phone

(646) 731-9497

NPI assigned

Apr 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1457934242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 MANHATTAN AVE APT 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112224939",
            "telephone_number": "646-731-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 MANHATTAN AVE APT 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112224939",
            "telephone_number": "646-731-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTH",
        "first_name": "SHANNON",
        "credential": "FNTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Side Pharmacy & Health Shop LLC
• Suzan South-Hylton, LPN
• Austin South
• Briseida South
• Nicole Anita South
• Nydia Diane Southerland
• Southern Dental
• Angela Grace Southern
• Joyce Lynn Southers, N.P.
• Southside Podiatry PC

• Nutrition Education Nutritionist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Nutrition Education Nutritionist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.