Whole Nutrition Services

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D01526 Issued in MD

Legal business name

WHOLE NUTRITION SERVICES

Practice address

1011 Ingleside Ave
Catonsville, MD 21228-1318

Phone

(410) 877-6077

Fax

(410) 877-6087

NPI assigned

Apr 16, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Shannon Green, RD, CDE, CSR, LDN

Title

Owner

Phone

(410) 877-6077

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Whole Nutrition Services, Inc.dba Renal Nutrition Services, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1669615951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 HORSEMAN CT",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334065",
            "telephone_number": "410-877-6077",
            "fax_number": "410-877-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 INGLESIDE AVE",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281318",
            "telephone_number": "410-877-6077",
            "fax_number": "410-877-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE NUTRITION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-877-6077",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD, CDE, CSR, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "D01526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS BLUE SHIELD",
            "identifier": "KBV8RE",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whole Nutrition Services, Inc.dba Renal Nutrition Services, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Caitlyn Wells, PTCB
• Nadia West, CD
• Taylor Westhoff, SLP
• Elizabeth H Weybright, CTRS
• Natacha Y Wheeler, CRNP-PMH
• Lindsey Wilhelm, CF-SLP
• Shannon William
• Paulette Williams-Tillery, PHD
• Angeline Kathleen Williams, CRNP
• Charlene Williams, LCSW-C

• Registered Dietitian in Catonsville, MD
• Providers in Catonsville, MD by specialty
• Registered Dietitian in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.