NPI 1679848485 · live from the CMS NPI Registry
Shannon Nicole Gregg, RD, LD
Dietitian, Registered in Rio Rancho, NM. National Provider Identifier 1679848485, active.
NPI record
| NPI | 1679848485 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1721 Rio Rancho Dr Se, Rio Rancho, NM 87124 |
| Practice phone | 505-896-8600 |
| Mailing address | 800 Bradbury Dr Se Ste 116, Albuquerque, NM 87106 |
| Enumerated | March 12, 2012 |
| Last updated | March 13, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | LD-0852 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.