Active NPI
Shawntel Steptoria Green, RD
- Registered Dietitian
- Bethesda, MD
National Provider Identifier
1588179121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DX3628
- Practice address
- 4494 North Palmer Road
Bethesda, MD 20889-2108 - Phone
- (301) 400-2707
- NPI assigned
- Dec 5, 2017
- Last updated
- Sep 16, 2024
- Sex
- Female
- Sole proprietor
- No
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 | DX3628 | MD | Primary |
Addresses
Primary practice location
4494 North Palmer Road
Bethesda, MD 20889-2108
Mailing address
9416 Spring House LN Apt L
Laurel, MD 20708-3280
Phone (240) 765-4083
Other practice location 1
8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (301) 552-8166
Other practice location 2
3900 Loch Raven Blvd Bldg 2
Baltimore, MD 21218-2108
Phone (410) 605-7620
Other practice location 3
301 Largo Rd
Largo, MD 20774-2109
Phone (301) 546-4119
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 |
|---|---|---|---|
| DX3628 | MD | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1588179121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9416 SPRING HOUSE LN APT L",
"city": "LAUREL",
"state": "MD",
"postal_code": "207083280",
"telephone_number": "240-765-4083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4494 NORTH PALMER ROAD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208892108",
"telephone_number": "301-400-2707"
}
],
"practiceLocations": [
{
"address_1": "8118 Good Luck Rd",
"address_purpose": "LOCATION",
"city": "Lanham",
"state": "MD",
"postal_code": "207063574",
"country_code": "US",
"telephone_number": "301-552-8166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3900 Loch Raven Blvd Bldg 2",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212182108",
"country_code": "US",
"telephone_number": "410-605-7620",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 Largo Rd",
"address_purpose": "LOCATION",
"city": "Largo",
"state": "MD",
"postal_code": "207742109",
"country_code": "US",
"telephone_number": "301-546-4119",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREEN",
"first_name": "SHAWNTEL",
"middle_name": "STEPTORIA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-05",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "DX3628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.