NPI 1801488150 · live from the CMS NPI Registry
Shannon Crowther, RDN
Dietitian, Registered in Preston, ID. National Provider Identifier 1801488150, active.
NPI record
| NPI | 1801488150 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 223 S 2600 E, Preston, ID 83263 |
| Practice phone | 435-770-0894 |
| Mailing address | Po Box 9, Franklin, ID 83237 |
| Enumerated | February 8, 2021 |
| Last updated | February 8, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D-671 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.