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SHANNON MOIRA SULLIVAN RD
NPI 1699450858
Dietitian, Registered in Austin, TX

Active since June 15, 2023
8700 MENCHACA RD STE 806, AUSTIN, TX 78748(254) 290-2183 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon Moira Sullivan Rd NPPES

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

SHANNON MOIRA SULLIVAN RD (NPI 1699450858) is an individual dietitian, registered in Austin, Texas, licensed in Texas (DT86901) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1699450858
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSHANNON MOIRA SULLIVANCredential: RD
Location Address8700 MENCHACA RD STE 806Austin, TX 78748-5379
Mailing Address400 W Saint Elmo Rd Apt 1007Austin, TX 78745-3316 · (254) 290-2183
Phone(254) 290-2183
Sole ProprietorNo
Enumeration DateJune 15, 2023
NPPES CertifiedJune 15, 2023
✔ NPI 1699450858 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 TX · DT86901
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.
8700 MENCHACA RD STE 806, Austin, TX 78748
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Other Providers at the Same Location NPPES 2

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

USSAMA FAISAL TAHA LCSW
Social Worker (Clinical)
8700 MENCHACA RD STE 806
AUSTIN, TX 78748
Travis County (512) 256-0619
USSAMA TAHA COUNSELING PLLC
Clinic/Center (Adult Mental Health)
8700 MENCHACA RD STE 806
AUSTIN, TX 78748
Travis County (512) 256-0619

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 Sullivan's NPI number?

The NPI number for Shannon Sullivan is 1699450858. It was assigned to this individual provider in the NPPES registry on June 15, 2023.

Where is Shannon Sullivan located?

Shannon Sullivan practices at 8700 Menchaca Rd Ste 806, Austin, TX 78748. The listed phone number is (254) 290-2183.

What is Shannon Sullivan'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 Sullivan was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.