Individual provider · Type 1 NPI

Shannon M. Wiederholt, RD, LDN, CDE

Registered Dietitian · Johnson City, TN

NPI number 1972647287 Active

Practice location

408 N State Of Franklin Rd, SUITE#31
Johnson City, TN 37604-6089

Call (423) 461-8880 Map

Fax (423) 461-8887

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X1075 (TN)

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 1972647287

Shannon M. Wiederholt, RD, LDN, CDE's National Provider Identifier is 1972647287, issued on Feb 19, 2007. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Johnson City, TN. The record was last updated on Jul 8, 2007.