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SHANNON NICOLE GREGG RD, LD
NPI 1679848485
Dietitian, Registered in Rio Rancho, NM

Active since March 12, 2012
1721 RIO RANCHO DR SE, RIO RANCHO, NM 87124(505) 896-8600(505) 895-8687 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 13, 2025, Oct 26, 2023 (2 updates tracked since 2023).

About Shannon Nicole Gregg Rd, Ld NPPES

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

SHANNON NICOLE GREGG RD, LD (NPI 1679848485) is an individual dietitian, registered in Rio Rancho, New Mexico, licensed in New Mexico (LD-0852) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1679848485
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSHANNON NICOLE GREGGCredential: RD, LD
Location Address1721 RIO RANCHO DR SERio Rancho, NM 87124-1052
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476
Phone(505) 896-8600
Fax(505) 895-8687
Sole ProprietorYes
Enumeration DateMarch 12, 2012
Last NPPES UpdateMarch 13, 20252 updates tracked since enumeration
NPPES CertifiedMarch 13, 2025
✔ NPI 1679848485 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 NM · LD-0852
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.
1721 RIO RANCHO DR SE, Rio Rancho, NM 87124
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Nicole Gregg Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Shannon Gregg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Unm Medical Group Inc
10.0 mi
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group
NPI 1831218627 (505) 272-3303

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

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

JOSEPHINE M ROBACK PAC
Physician Assistant (Medical)
1721 RIO RANCHO DR SE
RIO RANCHO, NM 87124
Sandoval County (505) 896-8600
DENISE E AAMODT MD
Family Medicine
1721 RIO RANCHO DR SE
RIO RANCHO, NM 87124
Sandoval County (505) 896-8600
LOVELACE HEALTH SYSTEMS INC
Pharmacy (Community/Retail Pharmacy)
1721 RIO RANCHO DR SE
RIO RANCHO, NM 87124
Sandoval County (505) 727-5940
JOHN M GOOD MD
Pediatrics
1721 RIO RANCHO DR SE
RIO RANCHO, NM 87124
Sandoval County (505) 896-8600
MS. STEPHANIE JOHNSTON MS, LN
Nutritionist
1721 RIO RANCHO DR SE
RIO RANCHO, NM 87124
Sandoval County (505) 896-8600
PAWITTA KASEMSAP MD
Pediatrics
1721 RIO RANCHO DR SE
RIO RANCHO, NM 87124
Sandoval County (505) 727-3500
WALGREEN CO
Pharmacy
1721 RIO RANCHO DR SE, STE C
RIO RANCHO, NM 87124
Sandoval County (505) 600-4012

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 Gregg's NPI number?

The NPI number for Shannon Gregg is 1679848485. It was assigned to this individual provider in the NPPES registry on March 12, 2012.

Where is Shannon Gregg located?

Shannon Gregg practices at 1721 Rio Rancho Dr SE, Rio Rancho, NM 87124. The listed phone number is (505) 896-8600.

What is Shannon Gregg's specialty?

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

Is Shannon Gregg enrolled in Medicare?

Yes. Shannon Gregg is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shannon Gregg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Gregg reassigns Medicare benefits to Unm Medical Group Inc (Albuquerque, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Gregg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Gregg was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.