Mary Shannon Burkholder

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

1118 Issued in KY

Practice address

1451 Harrodsburg Rd
Lexington, KY 40504-3758

Phone

(859) 396-9172

NPI assigned

Aug 13, 2026

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

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

{
    "created_epoch": "1786579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1750206926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 CHASEWOOD WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131728",
            "telephone_number": "859-396-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 HARRODSBURG RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043758",
            "telephone_number": "859-396-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHOLDER",
        "first_name": "MARY SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "KY",
            "license": "1118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha Burkhart-Wilson, LPP
• Abigail Burkhart
• Andrew James Burkhart
• David Edwin Burkhart
• William Patrick Burkhart
• Michael Allen Burleson, R.PH.
• Yelyzaveta Burlutska
• Amy Lauran Burnett, APRN
• Claudia Lynn Burnett, MS RD LD CDE
• Kathleen Ann Burnett, MSW, LCSW

• Renal Nutrition Registered Dietitian in Lexington, KY
• Providers in Lexington, KY by specialty
• Renal Nutrition Registered Dietitian in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.