Individual provider · Type 1 NPI
Tara Nicole Shattuck, MPS, RD, LDN
Registered Dietitian · New York, NY
Practice location
100 Church St Fl 8
New York, NY 10007-2614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian Primary | 133V00000X | None listed |
Registered Dietitian: 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…
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About NPI 1134039555
Tara Nicole Shattuck, MPS, RD, LDN's National Provider Identifier is 1134039555, issued on Sep 9, 2026. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in New York, NY. The record was last updated on Sep 9, 2026.