Elvira Nicole Shulgan, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86253684 Issued in VA

Practice address

4521 Munchkin LN
Rockingham, VA 22801-2509

Phone

(540) 560-7469

NPI assigned

Jul 24, 2022

Last updated

Jul 24, 2022By the provider in NPPES

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

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

{
    "created_epoch": "1658620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658620800000",
    "number": "1679208573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 MUNCHKIN LN",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228012509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4521 MUNCHKIN LN",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228012509",
            "telephone_number": "540-560-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULGAN",
        "first_name": "ELVIRA",
        "middle_name": "NICOLE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-24",
        "last_updated": "2022-07-24",
        "certification_date": "2022-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "86253684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Rockingham, VA
• Providers in Rockingham, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2022; 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.