Shannon Terry Carrigan, RD/LD ,MS

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND3920 Issued in FL

Practice address

2801 Kennedy St
Palatka, FL 32177-4150

Phone

(386) 326-3200

Fax

(386) 326-3399

NPI assigned

May 13, 2021

Last updated

May 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1710551981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 EDGEWATER RD",
            "city": "SATSUMA",
            "state": "FL",
            "postal_code": "321892116",
            "telephone_number": "386-327-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 KENNEDY ST",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774150",
            "telephone_number": "386-326-3200",
            "fax_number": "386-326-3399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 Edgewater Rd",
            "address_purpose": "LOCATION",
            "city": "Satsuma",
            "state": "FL",
            "postal_code": "321892116",
            "country_code": "US",
            "telephone_number": "386-237-2387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRIGAN",
        "first_name": "SHANNON",
        "middle_name": "TERRY",
        "name_prefix": "Mrs.",
        "credential": "RD/LD ,MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND3920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "endpointDescription": "Medical information of patient for nutrition assessment",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "144 Edgewater Rd",
            "city": "Satsuma",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321892116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "endpointDescription": "Medical Health Information",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2801 Kennedy St",
            "city": "Palatka",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321774150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Registered Dietitian in Palatka, FL
• Providers in Palatka, FL by specialty
• Registered Dietitian in Florida

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

Verify at the official NPI Registry.