Individual provider Active NPI

Rawan Shamaa, RD

  • Registered Dietitian
  • Buffalo, NY
National Provider Identifier
1912277617
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
8296 Garrock Rd
Buffalo, NY 14221-4186
Phone
(716) 639-3979
NPI assigned
Jan 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

8296 Garrock Rd
Buffalo, NY 14221-4186

Mailing address

8296 Garrock Rd
Buffalo, NY 14221-4186
Phone (716) 639-3979

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Circle Dietetics & Nutrition PC Dietitian, Registered CurrentSince Mar 15, 2012 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

574 Main St
Ste 203
East Aurora, NY 14052
Phone (716) 608-3110

75 S Broadway
Ste 4TH-FL
White Plains, NY 10601
Phone (215) 283-2833

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1912277617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8296 GARROCK RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142214186",
            "telephone_number": "716-639-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8296 GARROCK RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142214186",
            "telephone_number": "716-639-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMAA",
        "first_name": "RAWAN",
        "name_prefix": "Miss",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.