Adam T Shipton, MS, RD, LDN, CNSC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN003059 Issued in PA

Practice address

307 S Front St
Harrisburg, PA 17104-1621

Phone

(717) 782-3670

Fax

(717) 782-5192

NPI assigned

May 23, 2016

Last updated

Oct 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1902253727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST",
            "address_2": "SUITE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041621",
            "telephone_number": "717-782-3670",
            "fax_number": "717-782-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPTON",
        "first_name": "ADAM",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "MS, RD, LDN, CNSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-23",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN003059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103121960",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashipton16962@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "307 S Front St",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171041621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arnold T Shienvold, PHD
• Kasey Evan Shienvold, PSYD
• Nicole Elizabeth Shifflett, PA-C
• Shiftswift Medical Staffing LLC
• Nicole Elaine Shiley, PA-C
• Jonathan Shirey, M.D.
• Daisy Shirk, D.O.
• Eric L Shirley, D.M.D.
• Tracey Marie Shivok-Jefferson, NP-C
• Carissa Shobe, LPC

• Registered Dietitian in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Registered Dietitian in Pennsylvania

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

Verify at the official NPI Registry.