SHANE DUDLEY RDN
NPI 1740008366
Dietitian, Registered in Watertown, NY

Q: What is Shane Dudley's NPI number?

The NPI number for Shane Dudley is 1740008366. It was assigned to this individual provider in the NPPES registry on October 2, 2024.

Q: What is Shane Dudley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shane Dudley was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since October 02, 2024

133 PRATT ST, WATERTOWN, NY 13601(315) 785-4532 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shane Dudley Rdn NPPES

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

SHANE DUDLEY RDN (NPI 1740008366) is an individual dietitian, registered in Watertown, New York and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1740008366

Entity TypeIndividualMale

Primary Taxonomy133V00000X

Provider Legal NameSHANE DUDLEYCredential: RDN

Location Address133 PRATT STWatertown, NY 13601-4300

Mailing Address31 N Main StAdams, NY 13605-1124

Phone(315) 785-4532

Sole ProprietorNo

Enumeration DateOctober 2, 2024

NPPES CertifiedOctober 2, 2024

✔ NPI 1740008366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

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.

133 PRATT ST, Watertown, NY 13601

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Other Providers at the Same Location NPPES

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

SAMARITAN KEEP NURSING HOME INC

Skilled Nursing Facility

133 PRATT ST
WATERTOWN, NY 13601

Jefferson County (315) 785-4421

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 Shane Dudley's NPI number?

The NPI number for Shane Dudley is 1740008366. It was assigned to this individual provider in the NPPES registry on October 2, 2024.

Where is Shane Dudley located?

Shane Dudley practices at 133 Pratt St, Watertown, NY 13601. The listed phone number is (315) 785-4532.

What is Shane Dudley'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 Shane Dudley was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.