Active NPI
Shannon Leigh Williamson, RD LDN
- Registered Dietitian
- Asheville, NC
National Provider Identifier
1619634474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 873898
- Practice address
- 83 Lakeside Dr
Asheville, NC 28806-1227 - Phone
- (828) 458-8439
- NPI assigned
- Nov 29, 2021
- 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 | 873898 | NC | Primary |
Addresses
Primary practice location
83 Lakeside Dr
Asheville, NC 28806-1227
Mailing address
83 Lakeside Dr
Asheville, NC 28806-1227
Phone (828) 458-8439
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NC7975901 | Other | NC | DRIVER'S LICENSE |
Other names 1
- Shannon Leigh Beasley
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 |
|---|---|---|---|
| 873898 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638144000000",
"number": "1619634474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 LAKESIDE DR",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288061227",
"telephone_number": "828-458-8439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 LAKESIDE DR",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288061227",
"telephone_number": "828-458-8439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "SHANNON",
"middle_name": "LEIGH",
"credential": "RD LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-29",
"last_updated": "2021-11-29",
"certification_date": "2021-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "873898",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "NC7975901",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "BEASLEY",
"middle_name": "LEIGH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.