SUSAN HERRLICH SHACKLETT
NPI 1730393067
Dietitian, Registered in Dalton, GA
- Individual
- Female
- Dietitian, Registered
About SUSAN SHACKLETT
This page provides the complete NPI Profile along with additional information for Susan Shacklett, a provider established in Dalton, Georgia with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1730393067 assigned on May 2007. The practitioner's primary taxonomy code is 133V00000X with license number LD002865 (GA). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1730393067 Verify this NPI
- Provider Name
- SUSAN HERRLICH SHACKLETT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 808 PROFESSIONAL BLVD DALTON, GA 30720
- Location Phone
- (706) 281-2228
- Mailing Address
- 801 ATKINSON DR DALTON, GA 30720
- Mailing Phone
- (706) 275-0734
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-09-2007
- Last Update Date
- 07-08-2007
- 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.
- LD002865
- License State
- GA
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | 1856 (TN) |
| 2 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | 47092D |
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 |
|---|---|---|---|
| 71BBBRK | MEDICARE ID-TYPE UNSPECIFIED (04) | GA |
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
DALTON, GA 30720
DALTON, GA 30720
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730393067, enumerated as an "individual" on May 09, 2007.
The provider is located at 808 PROFESSIONAL BLVD DALTON, GA 30720 and the phone number is (706) 281-2228.
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.
