Active NPI
Shannon Marie Tokarski, MS, RD
- Registered Dietitian
- Madison Heights, MI
National Provider Identifier
1962625012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 925835
- Practice address
- 31214 Kenwood Ave
Madison Heights, MI 48071-1082 - Phone
- (586) 823-4577
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 925835 | IL | Primary |
Addresses
Primary practice location
31214 Kenwood Ave
Madison Heights, MI 48071-1082
Mailing address
31214 Kenwood Ave
Madison Heights, MI 48071-1082
Phone (586) 823-4577
Other names 1
- Shannon Bloodworth
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 925835 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Tri County Endocrinology & Nuclear Medicine PC | Past | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Warren, MI
- NPI 1255363388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1962625012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31214 KENWOOD AVE",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480711082",
"telephone_number": "586-823-4577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31214 KENWOOD AVE",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480711082",
"telephone_number": "586-823-4577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOKARSKI",
"first_name": "SHANNON",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MS, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "925835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "BLOODWORTH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Madison Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.