MRS. SHANNON LAUREN GORAL RDN, CDCES - NPI 1124693106 - Dietitian, Registered in Tucson, AZ

Q: What is Shannon Goral's NPI number?

The NPI number for Shannon Goral is 1124693106. It was assigned to this individual provider in the NPPES registry on May 23, 2021.

Q: What is Shannon Goral's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Goral was last updated on September 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Shannon Lauren Goral Rdn, Cdces NPPES

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

MRS. SHANNON LAUREN GORAL RDN, CDCES (NPI 1124693106) is an individual dietitian, registered in Tucson, Arizona, licensed in Arizona (1045306) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1124693106

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMRS. SHANNON LAUREN GORALCredential: RDN, CDCES

Location Address2380 N FERGUSON AVE STE 104Tucson, AZ 85712-2837

Mailing AddressPo Box 31235Tucson, AZ 85751-1235 · (520) 324-4100

Phone(520) 324-1010

Fax(520) 324-0029

Sole ProprietorNo

Enumeration DateMay 23, 2021

Last NPPES UpdateSeptember 13, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2021

✔ NPI 1124693106 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 AZ · 1045306

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.

2380 N FERGUSON AVE STE 104, Tucson, AZ 85712

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Other Identifiers 1

Medicaid095196AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona.Insurance ›

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SHUBH PREET KAUR M.D

Internal Medicine (Endocrinology, Diabetes & Metabolism)