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SHANNON WISE RD, LD
NPI 1093258030
Dietitian, Registered in Austin, TX

Active since November 23, 2016
2409 RIO MESA DR, AUSTIN, TX 78732(415) 260-8995 Get Directions Write a Review

NPPES record last updated: November 23, 2016. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Shannon Wise Rd, Ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON WISE RD, LD (NPI 1093258030) is an individual dietitian, registered in Austin, Texas, licensed in Texas (DT81117) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1093258030
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSHANNON WISECredential: RD, LD
Location Address2409 RIO MESA DRAustin, TX 78732-1964
Mailing Address2409 Rio Mesa DriveAustin, TX 78732 · (415) 260-8995
Phone(415) 260-8995
Sole ProprietorYes
Enumeration DateNovember 23, 2016
✔ NPI 1093258030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in TX · DT81117
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
2409 RIO MESA DR, Austin, TX 78732
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Wise's NPI number?

The NPI number for Shannon Wise is 1093258030. It was assigned to this individual provider in the NPPES registry on November 23, 2016.

Where is Shannon Wise located?

Shannon Wise practices at 2409 Rio Mesa Dr, Austin, TX 78732. The listed phone number is (415) 260-8995.

What is Shannon Wise's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Shannon Wise was last updated on November 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.