Shannon Rodman-Costlow, RD LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD003923 Issued in GA

Practice address

175 Crossing Blvd
Framingham, MA 01702-4475

Phone

(774) 405-4016

NPI assigned

Jul 26, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DAFIAD

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.

• Premier Medical Associates PC

  • Internal Medicine Physician
  • Cumming, GA
  • NPI 1376600825
  NPD

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720531825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 CROSSING BLVD",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017024475",
            "telephone_number": "774-405-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CROSSING BLVD",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017024475",
            "telephone_number": "774-405-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODMAN-COSTLOW",
        "first_name": "SHANNON",
        "credential": "RD LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD003923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nykiesha K Robinson
• Raia Robotham
• Nicolas Rocha
• Kara Marie Rodecker
• Rebecca Lynn Roderiques
• Manuela Rodovalho
• Talita Rodovalho, LMHC
• Evelyne M Rodrigue, MS
• Eliza Rodrigues, LCSW
• Santiago Rodriguez Vega, MD

• Registered Dietitian in Framingham, MA
• Providers in Framingham, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.