Janice Elizabeth Shannon, LN

Primary specialty

NutritionistTaxonomy code 133N00000X

License

NU000008 Issued in NC

Practice address

4375 Tidemarsh CT
Southport, NC 28461-8314

Phone

(910) 854-0570

NPI assigned

Apr 14, 2021

Last updated

Apr 14, 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 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1750961587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 TIDEMARSH CT",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618314",
            "telephone_number": "910-854-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 TIDEMARSH CT",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618314",
            "telephone_number": "910-854-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "JANICE",
        "middle_name": "ELIZABETH",
        "credential": "LN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NC",
            "license": "NU000008",
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NC",
            "license": "NU000008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jesnutrition",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "html",
            "address_1": "4375 Tidemarsh Ct",
            "city": "Southport",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284618314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kurt Thomas Scheetz, DDS
• Raymond Edward Schmoke, M.D.
• Barton L Schneyer, MD
• Ryan Schott
• Jeff Holzworth Shaffer, D.C.
• Chris G Shepherd, PTA
• Shoreline Counseling Center, PLLC
• Michael G Shupp
• Karin Siebold, LMBT, CST-D, MLD-C
• Sarah Ann Smith, OD

• Nutritionist in Southport, NC
• Providers in Southport, NC by specialty
• Nutritionist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.