SUSAN HERRLICH SHACKLETT
NPI 1730393067
Dietitian, Registered in Dalton, GA

Active since May 09, 2007
808 PROFESSIONAL BLVD, DALTON, GA 30720(706) 281-2228 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Susan Herrlich Shacklett NPPES

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

SUSAN HERRLICH SHACKLETT (NPI 1730393067) is an individual dietitian, registered in Dalton, Georgia, licensed in Georgia (LD002865) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1730393067
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSUSAN HERRLICH SHACKLETT
Location Address808 PROFESSIONAL BLVDDalton, GA 30720-2536
Mailing Address801 Atkinson DrDalton, GA 30720-3901 · (706) 275-0734
Sole ProprietorNo
Enumeration DateMay 9, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1730393067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses Licensed in GA · LD002865 Licensed in TN · 1856 Licensed · 47092D
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.
808 PROFESSIONAL BLVD, Dalton, GA 30720

Other Identifiers 1

Medicare ID-Type Unspecified71BBBRKGA

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.

Nurse Practitioner (Women's Health)
808 PROFESSIONAL BLVD
DALTON, GA 30720
Nurse Practitioner (Family)
808 PROFESSIONAL BLVD
DALTON, GA 30720
Dentist (Dental Public Health)
808 PROFESSIONAL BLVD
DALTON, GA 30720
Dentist (Dental Public Health)
808 PROFESSIONAL BLVD
DALTON, GA 30720
Nurse Practitioner
808 PROFESSIONAL BLVD, WHITFIELD CO BOARD OF HEALTH THE LIVING BRIDGE CENTER
DALTON, GA 30720
Nurse Practitioner (Neonatal)
808 PROFESSIONAL BLVD
DALTON, GA 30720
Nurse Practitioner (Family)
808 PROFESSIONAL BLVD
DALTON, GA 30720

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 Susan Shacklett's NPI number?

The NPI number for Susan Shacklett is 1730393067. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Susan Shacklett located?

Susan Shacklett practices at 808 Professional Blvd, Dalton, GA 30720. The listed phone number is (706) 281-2228.

What is Susan Shacklett'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 Susan Shacklett was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.