Active NPI
Shayna Bryant, MPH, RDN, LD
- Registered Dietitian
- Youngstown, OH
National Provider Identifier
1609655299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 086152444
- Practice address
- 4570 Sheffield Dr
Youngstown, OH 44515-5352 - Phone
- (330) 261-4799
- NPI assigned
- Sep 25, 2023
- 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 | 086152444 | OH | Primary |
Addresses
Primary practice location
4570 Sheffield Dr
Youngstown, OH 44515-5352
Mailing address
365 Utah Ave
MC Donald, OH 44437-1521
Phone (330) 261-4799
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 |
|---|---|---|---|
| 086152444 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1609655299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 UTAH AVE",
"city": "MC DONALD",
"state": "OH",
"postal_code": "444371521",
"telephone_number": "330-261-4799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4570 SHEFFIELD DR",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445155352",
"telephone_number": "330-261-4799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "SHAYNA",
"credential": "MPH, RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-25",
"last_updated": "2023-09-25",
"certification_date": "2023-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "086152444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.