Shannon Lynne Lalor, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

37003871A Issued in IN

Practice address

90 Executive Dr Ste C
Carmel, IN 46032-2612

Phone

(317) 740-1970

Fax

(765) 630-7905

NPI assigned

Dec 12, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Roundtable Wellness

  • Adult Mental Health Clinic/Center
  • Carmel, IN
  • NPI 1023739067

  Dietitian, Registered

  NPD
• Roundtable Wellness

  • Mental Health Counselor
  • Lafayette, IN
  • NPI 1013366251

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1619745486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 SOUTH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479011416",
            "telephone_number": "765-630-7222",
            "fax_number": "765-630-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 EXECUTIVE DR STE C",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322612",
            "telephone_number": "317-740-1970",
            "fax_number": "765-630-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALOR",
        "first_name": "SHANNON",
        "middle_name": "LYNNE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37003871A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lai Vision and Surgery, LLC
• Kevin Enpei Lai, M.D.
• Lak DDS LLC
• Maryann Lake, LCSW
• Lakewood Family Dental of Carmel LLC
• Aubrey Jayden Lamb, RBT
• Tori Lamb, RBT
• Desiree E Lambert, RD
• Peter Lamonaca
• Erica P Lampert

• Registered Dietitian in Carmel, IN
• Providers in Carmel, IN by specialty
• Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.