Shannon Marie Scott, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D1440 Issued in MS

Practice address

1192 Scott CV
Southaven, MS 38671-4664

Phone

(601) 201-3926

NPI assigned

Jul 12, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1942598917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 SCOTT CV",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714664",
            "telephone_number": "601-201-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1192 SCOTT CV",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714664",
            "telephone_number": "601-201-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MS",
            "license": "D1440",
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MS",
            "license": "D1440",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "2326",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "TN",
            "license": "2326",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Schachterle, LCSW
• Alan R Schaeffer, MD
• Brooke E. Schuppan
• Emily Kesler Schwartz, RD, LD
• Harrison William Scott, DO
• Benjamin Lyal Joseph Scrivener, PA-C
• Jenna Scruggs, NP
• Mary Jeanette Scruggs, PHARMD
• Regina G Seaton, FNP
• Cody Semler, DPT

• Registered Dietitian in Southaven, MS
• Providers in Southaven, MS by specialty
• Registered Dietitian in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.