Shannon Powers-Jones, RD, LDN
Individual provider Active NPI Registered Dietitian · Tega Cay, SC
NPI 1609265479 · NPPES record last updated Jan 16, 2015
Key facts
- NPI
- 1609265479
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- L004175 (NC)
- Practice address
- 1743 Bentgrass LN
Tega Cay, SC 29708-8537 - Phone
- (803) 396-0935
- NPI assigned
- Jan 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L004175 | NC | MD | Registered Dietitian |
| 1289 | SC | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L004175 | NC | Yes |
| Registered Dietitian | 133V00000X | 1289 | SC |
Addresses
Primary practice location
1743 Bentgrass LN
Tega Cay, SC 29708-8537
Mailing address
1743 Bentgrass LN
Tega Cay, SC 29708-8537
Phone (803) 396-0935
Other providers in Tega Cay, SC
- Marcia Marie Patete
- Jenny Petrenko
- Kimberly Kay Philbrick
- Faith Plemmons
- Pamela Pompey
- Alexis Reale
- Melissa Marie Reinking
- Elizabeth J. Repede
- Allyssa Resech
- Cynthia Elizabeth Royston
All providers in Tega Cay, SC · Registered Dietitian in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.