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SHANNON RAE HEFFERN R.D.
NPI 1760744130
Dietitian, Registered in Flagstaff, AZ

Active since June 12, 2012
1200 N. BEAVER, FLAGSTAFF, AZ 86001(928) 214-2800(928) 773-2421 Get Directions Write a Review

NPPES record last updated: March 16, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Rae Heffern R.d. NPPES

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

SHANNON RAE HEFFERN R.D. (NPI 1760744130) is an individual dietitian, registered in Flagstaff, Arizona, licensed in (706932) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1760744130
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSHANNON RAE HEFFERNCredential: R.D.
Location Address1200 N. BEAVERFlagstaff, AZ 86001
Mailing Address1200 N. Beaver, Payer CredentialingFlagstaff, AZ 86001 · (928) 213-6235 · Fax (928) 213-6292
Phone(928) 214-2800
Fax(928) 773-2421
Sole ProprietorYes
Enumeration DateJune 12, 2012
Last NPPES UpdateMarch 16, 2017
✔ NPI 1760744130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed · 706932
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.
1200 N. BEAVER, Flagstaff, AZ 86001
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Other Identifiers 3

Medicare PINZ198587AZ
Medicare PINZ197772AZ
Medicaid233789AZ

Other Providers at the Same Location NPPES 4

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

JUANITA LOUISE MARLETTE RD
Dietitian, Registered
1200 N. BEAVER, PAYER CREDENTIALING
FLAGSTAFF, AZ 86001
Coconino County (928) 213-6235
NEUROFIT HEALTH PLLC
Physician Assistant (Surgical)
1200 N. BEAVER
FLAGSTAFF, AZ 86001
Coconino County (928) 779-1162
DR. LEON MICHAEL CATTOLICO D.O.
Family Medicine
1200 N. BEAVER, PAYER CREDENTIALING
FLAGSTAFF, AZ 86001
Coconino County (928) 213-6235
MS. ALVINA Y BEGAY R.D.
Dietitian, Registered
1200 N. BEAVER
FLAGSTAFF, AZ 86001
Coconino County (928) 214-2800

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 Heffern's NPI number?

The NPI number for Shannon Heffern is 1760744130. It was assigned to this individual provider in the NPPES registry on June 12, 2012.

Where is Shannon Heffern located?

Shannon Heffern practices at 1200 N. Beaver, Flagstaff, AZ 86001. The listed phone number is (928) 214-2800.

What is Shannon Heffern'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 Heffern was last updated on March 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.