Individual provider Active NPI

Shelby Nicole Duncan, RD, LD

  • Registered Dietitian
  • Carmel, IN
National Provider Identifier
1619511201
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
37002627A Issued in IN
Practice address
13500 N Meridian St
Carmel, IN 46032-1456
Phone
(317) 582-8458
Fax
(317) 338-6314
NPI assigned
Nov 6, 2019
Last updated
Nov 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 37002627A IN Primary

Addresses

Primary practice location

13500 N Meridian St
Carmel, IN 46032-1456

Mailing address

8317 S Swimming Hole LN
Pendleton, IN 46064-8586
Phone (740) 816-4076

Other practice location 1

13861 Olio Rd
Fishers, IN 46037-3487
Phone (317) 582-8458

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

LicenseStateTypeSpecialty
37002627AINMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1619511201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8317 S SWIMMING HOLE LN",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460648586",
            "telephone_number": "740-816-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321456",
            "telephone_number": "317-582-8458",
            "fax_number": "317-338-6314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13861 Olio Rd",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460373487",
            "country_code": "US",
            "telephone_number": "317-582-8458",
            "fax_number": "317-338-6314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "SHELBY",
        "middle_name": "NICOLE",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37002627A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.