SHANNON MARIE ROARK MS, RDN, CLC
NPI 1174722029
Dietitian, Registered in Johnson City, TN
About Shannon Marie Roark Ms, Rdn, Clc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON MARIE ROARK MS, RDN, CLC (NPI 1174722029) is an individual dietitian, registered in Johnson City, Tennessee, licensed in Tennessee (917714) and active in the NPI registry since July 2007.
NPPES Registry Identity
Specialties & Licenses
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.
Other Identifiers 1
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Roark's NPI number?
The NPI number for Shannon Roark is 1174722029. It was assigned to this individual provider in the NPPES registry on July 12, 2007.
Where is Shannon Roark located?
Shannon Roark practices at 185 Treasure Ln, Johnson City, TN 37604. The listed phone number is (423) 202-6404.
What is Shannon Roark'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 Roark was last updated on March 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
