Shannon Terry Carrigan, RD/LD ,MS
Individual provider Active NPI Registered Dietitian · Palatka, FL
NPI 1710551981 · NPPES record last updated May 13, 2021
Key facts
- NPI
- 1710551981
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- ND3920 (FL)
- Practice address
- 2801 Kennedy St
Palatka, FL 32177-4150 - Phone
- (386) 326-3200
- Fax
- (386) 326-3399
- NPI assigned
- May 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND3920 | FL | Yes |
Addresses
Primary practice location
2801 Kennedy St
Palatka, FL 32177-4150
Mailing address
144 Edgewater Rd
Satsuma, FL 32189-2116
Phone (386) 327-3287
Other practice location 1
144 Edgewater Rd
Satsuma, FL 32189-2116
Phone (386) 237-2387
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Computer | Health Information Exchange (HIE) | |
| SOAP URL | Computer | Health Information Exchange (HIE) |
Other providers in Palatka, FL
- Robin Calhoun
- Canaday and Jagedo Physician Associates PL
- Narsimha Candula
- Cardiac Care Center Inc
- Francis Carmel
- Lawrence Alan Carroll
- Brenda R Castells
- Michelle Lee Casto
- Lucia F Castro
- Centers for Advanced Imaging Inc
All providers in Palatka, FL · Registered Dietitian in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.