Stacy Shawhan, RD, CSO, LD

Primary specialty

Oncology Nutrition Registered DietitianTaxonomy code 133VN1301X

Practice address

3151 Bellevue Avenue
Cincinnati, OH 45219

Phone

(513) 584-4545

NPI assigned

Dec 2, 2022

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

Other names 1

• Stacy Holdeman Former name

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": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1881304616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4013 TAMWORTH CIR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452132346",
            "telephone_number": "513-482-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 BELLEVUE AVENUE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45219",
            "telephone_number": "513-584-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4013 Tamworth Cir",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452132346",
            "country_code": "US",
            "telephone_number": "513-482-0994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAWHAN",
        "first_name": "STACY",
        "credential": "RD, CSO, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-02",
        "last_updated": "2025-09-11",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1301X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "HOLDEMAN",
            "credential": "RD, CSO, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shamiya Shaw, LMD
• Simone Delores Shaw
• Terrie Shaw
• Tiara Shaw
• William Hudson Shaw
• Shazia R Chaudhry MD Inc
• Shazia R Chaudhry MD LLC
• Ashley Marie Shea, CNP
• Karen Shea, PT
• Patrick Shea, M.D.

• Registered Dietitian in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.