Individual provider Active NPI

Shannon Menhardt, MS, RD, LD

  • Registered Dietitian
  • Washington, DC
National Provider Identifier
1730730300
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN006897 Issued in PA
Practice address
5100 Wisconsin Ave NW Ste 401
Washington, DC 20016-4131
Phone
(202) 527-7500
NPI assigned
Sep 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN006897 PA Primary

Addresses

Primary practice location

5100 Wisconsin Ave NW Ste 401
Washington, DC 20016-4131

Mailing address

794 Three Fox LN
West Chester, PA 19380-2015
Phone (610) 883-1786

Other names 1

  • Shannon Gray Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240325002542 DC Practitioner - Registered Dietitian Or Nutrition Professional 4587001649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PCRM ClinicGroup PAC ID 7810207511, 4 clinicians

Practice addresses (Care Compare)

5100 Wisconsin Ave NW
Suite 401
Washington, DC 20016-4131
Phone (202) 527-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN006897PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
PCRM Clinic CurrentSince Mar 11, 2024 Accepting new patients

Locations

5100 Wisconsin Ave NW
Ste 401
Washington, DC 20016
Phone (202) 527-7400

Interoperability endpoints

  • Direct secure messaging: shannon.gray.1@12036.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1730730300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 THREE FOX LN",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193802015",
            "telephone_number": "610-883-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 WISCONSIN AVE NW STE 401",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164131",
            "telephone_number": "202-527-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENHARDT",
        "first_name": "SHANNON",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN006897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "GRAY",
            "credential": "MS, RD, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.