Shannan E Carter, MS,RD,CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

004040 Issued in NY

Practice address

1886 Broadway
Second Floor
New York, NY 10023-7033

Phone

(212) 247-8100

Fax

(212) 247-8093

NPI assigned

Aug 10, 2006

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)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487665352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W 63RD ST",
            "address_2": "22L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237103",
            "telephone_number": "646-644-5767",
            "fax_number": "212-247-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1886 BROADWAY",
            "address_2": "SECOND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237033",
            "telephone_number": "212-247-8100",
            "fax_number": "212-247-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "SHANNAN",
        "middle_name": "E",
        "name_prefix": "Miss",
        "credential": "MS,RD,CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "004040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Antonia Carter
• Maxine Regenia Carter, CASAC-T
• Mercedes Casha Carter
• Patricia M Carter, PT
• Robert Colin Carter, MD
• Sondra Lynne Carter, M.D.
• Steven K Carter, PHD
• Theodora Carter
• Vanessa Renee Carter, LCSW
• Victoria Carter, MA,CCC-SLP

• Registered Dietitian in New York, NY
• Providers in New York, NY by specialty
• Registered Dietitian in New York

• 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.

Verify at the official NPI Registry.