MRS. MARY J SHEPHARD RD, RDN, LDN
NPI 1568926004
Dietitian, Registered in Johnson City, TN
- Individual
- Female
- Dietitian, Registered
About MARY SHEPHARD
This page provides the complete NPI Profile along with additional information for Mary Shephard, a provider established in Johnson City, Tennessee with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1568926004 assigned on January 2019. The practitioner's primary taxonomy code is 133V00000X with license number LDN0000003448 (TN). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1568926004 Verify this NPI
- Provider Name
- MRS. MARY J SHEPHARD RD, RDN, LDN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 301 MED TECH PKWY STE 240 JOHNSON CITY, TN 37604
- Location Phone
- (423) 794-5520
- Location Fax
- (423) 282-6940
- Mailing Address
- 215 E SPRINGBROOK DR JOHNSON CITY, TN 37601
- Mailing Phone
- (423) 794-5520
- Mailing Fax
- (423) 282-6940
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-29-2019
- Last Update Date
- 04-11-2020
- Code Navigator
Location Map
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
- License No.
- LDN0000003448
- License State
- TN
- 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:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| Q056054 | MEDICAID (05) | TN |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568926004, enumerated as an "individual" on January 29, 2019.
The provider is located at 301 MED TECH PKWY STE 240 JOHNSON CITY, TN 37604 and the phone number is (423) 794-5520.
Dietitian, Registered with taxonomy code 133V00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
