Active NPI
Elena Vinokurova- Shannon, RD LDN
- Registered Dietitian
- Framingham, MA
National Provider Identifier
1770116402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1692
- Practice address
- 24 Myrtle St
Framingham, MA 01702-6359 - Phone
- (617) 223-1941
- NPI assigned
- Feb 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1692 | MA | Primary |
Addresses
Primary practice location
24 Myrtle St
Framingham, MA 01702-6359
Mailing address
71B Center St
Burlington, MA 01803-3060
Phone (781) 270-5134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1692 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582243200000",
"number": "1770116402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71B CENTER ST",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018033060",
"telephone_number": "781-270-5134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 MYRTLE ST",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017026359",
"telephone_number": "617-223-1941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINOKUROVA- SHANNON",
"first_name": "ELENA",
"credential": "RD LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-21",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "1692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.