Enas Shakkour Wilker, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

882 Issued in SC

Practice address

1315 Matthews Mint Hill Rd Ste B
Matthews, NC 28105-2694

Phone

(704) 846-7105

NPI assigned

Aug 19, 2015

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

Other names 1

• Enas Shakkour Former name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

My Diabetes Dietitian IncGroup PAC ID 5890002109, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• My Diabetes Dietitian, Inc.

  • Registered Dietitian
  • Matthews, NC
  • NPI 1134368947

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Dietitian Services LLC

  • Clinic/Center
  • Matthews, NC
  • NPI 1982311809
  NPD

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1497121925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 LEES COURT ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 MATTHEWS MINT HILL RD STE B",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052694",
            "telephone_number": "704-846-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKER",
        "first_name": "ENAS",
        "middle_name": "SHAKKOUR",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ENAS",
            "last_name": "SHAKKOUR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Edward Whitman
• Sarah Cobb Whittaker
• Irving David Wight, PA-C
• Caroline Lee Wilds, MD
• Kaitlin Wilk, RD
• Shawn Willard, LPCA, NCC, LCASA
• Bryan Joseph Williams, D.P.M.
• Chelsea Marie Williams, PA-C
• Hillary Michelle Williams
• Leslie Williams, LCSW, CCTP

• Registered Dietitian in Matthews, NC
• Providers in Matthews, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.