Individual provider · Type 1 NPI

Shama Roderick-Stock, RD

Registered Dietitian · Bloomington, IN

NPI number 1679403539 Active

Practice location

491 E Chambers Pike
Bloomington, IN 47404-8004

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone 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 1679403539

Shama Roderick-Stock, RD's National Provider Identifier is 1679403539, issued on May 21, 2026. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Bloomington, IN. The record was last updated on May 21, 2026.