KIMBERLY SHANNON RD
NPI 1093365975
Dietitian, Registered in Charlotte, NC

Active since September 12, 2019
3507 CRAUGHWELL DR, CHARLOTTE, NC 28209(704) 609-9565 Get Directions Write a Review

NPPES record last updated: September 12, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Dietitian, Registered
  • Accepts Insurance

About KIMBERLY SHANNON

This page provides the complete NPI Profile along with additional information for Kimberly Shannon, a provider established in Charlotte, North Carolina with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1093365975 assigned on September 2019. The practitioner's primary taxonomy code is 133V00000X. The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1093365975 Verify this NPI
Provider Name
KIMBERLY SHANNON RD
Gender
Female
Entity Type
Individual
Location Address
3507 CRAUGHWELL DR CHARLOTTE, NC 28209
Location Phone
(704) 609-9565
Mailing Address
3507 CRAUGHWELL DR CHARLOTTE, NC 28209
Is Sole Proprietor?
No
Enumeration Date
09-12-2019
Last Update Date
09-12-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard A | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Gold Standard A | Statewide Doctors - HMO
  • Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Novant Health - EPO
  • Blue Home Bronze Standard | with Novant Health - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Reviews for KIMBERLY SHANNON RD

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093365975, enumerated as an "individual" on September 12, 2019.

The provider is located at 3507 CRAUGHWELL DR CHARLOTTE, NC 28209 and the phone number is (704) 609-9565.

Dietitian, Registered with taxonomy code 133V00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.