Active NPI
Leah Ann Shaw, RDN,LD
- Registered Dietitian
- Carrollton, TX
National Provider Identifier
1962017921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 807607
- Practice address
- 2211 High Country Dr
Carrollton, TX 75007-1701 - Phone
- (214) 673-8632
- NPI assigned
- Sep 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 807607 | TX | Primary |
Addresses
Primary practice location
2211 High Country Dr
Carrollton, TX 75007-1701
Mailing address
2211 High Country Dr
Carrollton, TX 75007-1701
Phone (214) 673-8632
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13343654 | Medicaid | TX |
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 |
|---|---|---|---|
| 807607 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600128000000",
"number": "1962017921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 HIGH COUNTRY DR",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750071701",
"telephone_number": "214-673-8632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 HIGH COUNTRY DR",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750071701",
"telephone_number": "214-673-8632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "LEAH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RDN,LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-15",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "807607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13343654",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.