MS. KIM SHACKLEFORD FNTP
NPI 1376279513
Nutritionist in Raleigh, NC

Q: What is Kim Shackleford's NPI number?

The NPI number for Kim Shackleford is 1376279513. It was assigned to this individual provider in the NPPES registry on July 29, 2022. The provider is also known as Kim Shackleford Fntp.

Q: What is Kim Shackleford's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

Q: When was this NPI record last updated?

The NPPES record for Kim Shackleford was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 29, 2022

3830 CASEY LEIGH LN, RALEIGH, NC 27612(919) 427-5946 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Ms. Kim Shackleford Fntp NPPES

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

MS. KIM SHACKLEFORD FNTP (NPI 1376279513) is an individual nutritionist in Raleigh, North Carolina and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1376279513

Entity TypeIndividualFemale

Primary Taxonomy133N00000X

Provider Legal NameMS. KIM SHACKLEFORDCredential: FNTP

Location Address3830 CASEY LEIGH LNRaleigh, NC 27612-4258

Mailing Address3830 Casey Leigh LnRaleigh, NC 27612-4258 · (919) 427-5946

Phone(919) 427-5946

Sole ProprietorYes

Enumeration DateJuly 29, 2022

NPPES CertifiedJuly 29, 2022

✔ NPI 1376279513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers

Taxonomy Code133N00000X

Definition

A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

3830 CASEY LEIGH LN, Raleigh, NC 27612

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Other Names 1

Former Name (1)Kim Shackleford Fntp

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 Kim Shackleford's NPI number?

The NPI number for Kim Shackleford is 1376279513. It was assigned to this individual provider in the NPPES registry on July 29, 2022. The provider is also known as Kim Shackleford Fntp.

Where is Kim Shackleford located?

Kim Shackleford practices at 3830 Casey Leigh Ln, Raleigh, NC 27612. The listed phone number is (919) 427-5946.

What is Kim Shackleford's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

When was this NPI record last updated?

The NPPES record for Kim Shackleford was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.