Shannon Terry Carrigan, RD/LD ,MS
Dietitian, Registered in Palatka, FL. Individual provider (NPI-1).
NPI number1710551981
StatusActive
Last updated in NPPESMay 13, 2021
Details
- NPI
- 1710551981
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Shannon Terry Carrigan
- Credential
- RD/LD ,MS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 13, 2021
- Certification date
- May 3, 2021
- Last updated
- May 13, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | ND3920 | FL | Yes |
Practice location
2801 Kennedy StPalatka, FL 32177-4150
Phone 386-326-3200 · Fax 386-326-3399
Mailing address
144 Edgewater RdSatsuma, FL 32189-2116
Phone 386-327-3287
Other practice locations
144 Edgewater Rd
Satsuma, FL 32189-2116
Satsuma, FL 32189-2116
Phone 386-237-2387
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Other Registered Dietitian providers in Palatka, FL
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