Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARY SHANNON BURKHOLDER
NPI 1750206926
Dietitian, Registered - Nutrition, Renal in Lexington, KY

Q: What is Mary Shannon Burkholder's NPI number?

The NPI number for Mary Shannon Burkholder is 1750206926. It was assigned to this individual provider in the NPPES registry on August 13, 2026.

Q: What is Mary Shannon Burkholder's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Renal, with taxonomy code 133VN1005X.

Active since August 13, 2026

1451 HARRODSBURG RD, LEXINGTON, KY 40504(859) 396-9172 Get Directions Write a Review

NPPES record added: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary Shannon Burkholder NPPES

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

MARY SHANNON BURKHOLDER (NPI 1750206926) is an individual nutrition, renal provider in Lexington, Kentucky, licensed in Kentucky (1118) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1750206926

Entity TypeIndividualFemale

Primary Taxonomy133VN1005X

Provider Legal NameMARY SHANNON BURKHOLDER

Location Address1451 HARRODSBURG RDLexington, KY 40504-3758

Mailing Address1060 Chasewood WayLexington, KY 40513-1728 · (859) 396-9172

Phone(859) 396-9172

Sole ProprietorNo

Enumeration DateAugust 13, 2026

NPPES CertifiedAugust 13, 2026

✔ NPI 1750206926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, RenalDietary & Nutritional Service Providers

Taxonomy Code133VN1005X

License✔ Licensed in KY · 1118

Definition

An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.

1451 HARRODSBURG RD, Lexington, KY 40504

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Other Providers at the Same Location NPPES 12

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

WANDA V HARRISON MD

Family Medicine

1451 HARRODSBURG RD, SUITE D-502
LEXINGTON, KY 40504

Fayette County (859) 277-8560

BLUEGRASS MEDICAL GROUP PSC

Family Medicine

1451 HARRODSBURG RD, SUITE D 502
LEXINGTON, KY 40504

Fayette County (859) 277-8560

MELISSA J MCINTYRE APRN

Nurse Practitioner

1451 HARRODSBURG RD, SUITE D-502
LEXINGTON, KY 40504

Fayette County (859) 277-8560

RICHARD L. DICKENS CRNA

Nurse Anesthetist, Certified Registered

1451 HARRODSBURG RD, BLDG D, SUITE 102
LEXINGTON, KY 40504

Fayette County (859) 276-2525

SANDRA ROBERTS M.D.

Anesthesiology

1451 HARRODSBURG RD, BUILDING D, SUITE 102
LEXINGTON, KY 40504

Fayette County (859) 276-2525

JEAN MARIE BAQUERO RD

Dietitian, Registered (Nutrition, Renal)

1451 HARRODSBURG RD
LEXINGTON, KY 40504

Fayette County (859) 977-4000

ERIKA H. CLARK MD

Internal Medicine

1451 HARRODSBURG RD, SUITE D-502
LEXINGTON, KY 40504

Fayette County (859) 277-8560

JEAN A SUTHERLAND MD

Internal Medicine

1451 HARRODSBURG RD, SUITE D-502
LEXINGTON, KY 40504

Fayette County (859) 277-8560

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 Mary Shannon Burkholder's NPI number?

The NPI number for Mary Shannon Burkholder is 1750206926. It was assigned to this individual provider in the NPPES registry on August 13, 2026.

Where is Mary Shannon Burkholder located?

Mary Shannon Burkholder practices at 1451 Harrodsburg Rd, Lexington, KY 40504. The listed phone number is (859) 396-9172.

What is Mary Shannon Burkholder's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Renal, with taxonomy code 133VN1005X.

When was this NPI record last updated?

The NPPES record for Mary Shannon Burkholder was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.