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MS. SHANNON GREEN RD CDE CSR LDN
NPI 1164573275
Dietitian, Registered in Catonsville, MD

Active since January 15, 2007
1011 INGLESIDE AVE, CATONSVILLE, MD 21228(410) 877-6077(410) 877-6087 Get Directions Write a Review

NPPES record last updated: February 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Shannon Green Rd Cde Csr Ldn NPPES

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

MS. SHANNON GREEN RD CDE CSR LDN (NPI 1164573275) is an individual dietitian, registered in Catonsville, Maryland, licensed in Maryland (D01526) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1164573275
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMS. SHANNON GREENCredential: RD CDE CSR LDN
Location Address1011 INGLESIDE AVECatonsville, MD 21228-1318
Mailing Address51 Horseman CtRandallstown, MD 21133-4065 · (410) 877-6077 · Fax (410) 877-6087
Phone(410) 877-6077
Fax(410) 877-6087
Sole ProprietorNo
Enumeration DateJanuary 15, 2007
Last NPPES UpdateFebruary 1, 2012
✔ NPI 1164573275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses✔ Licensed in MD · D01526✔ Licensed in DC · DI100000367
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.
Also ListedNutritionistTaxonomy 133N00000X · License D01526 (MD)
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X · License D01526 (MD)
Also ListedDietitian, Registered · Nutrition, PediatricTaxonomy 133VN1004X · License D01526 (MD)
Also ListedDietitian, Registered · Nutrition, RenalTaxonomy 133VN1005X · License D01526 (MD)
Also ListedDietitian, Registered · Nutrition, MetabolicTaxonomy 133VN1006X · License D01526 (MD)
1011 INGLESIDE AVE, Catonsville, MD 21228
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Other Identifiers 9

Medicare PIN150409ZDGZDC
Medicaid400754900MD
Other3072804MD · Aetna, Hmo
Other7455454MD · Aetna,non Hmo
Other61553701MD · Carefirst Blue Cross Blue Shiedl
Medicare UPINP52275
OtherG3980001MD · Group Hospitalization And Medical Services, Inc
Other2122754Unitedhealthcare
Medicare PIN151424ZDMMMD

Other Providers at the Same Location NPPES

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

WHOLE NUTRITION SERVICES
Dietitian, Registered
1011 INGLESIDE AVE
CATONSVILLE, MD 21228
Baltimore County (410) 877-6077

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 Green's NPI number?

The NPI number for Shannon Green is 1164573275. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Shannon Green located?

Shannon Green practices at 1011 Ingleside Ave, Catonsville, MD 21228. The listed phone number is (410) 877-6077.

What is Shannon Green'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 Green was last updated on February 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.