Shannon Davis, MS, RD is a
Dietitian, Registered based in Hartwick, New York. Shannon Davis is licensed to practice in New York (license number 8674081) and her current practice location is
4340 State Highway 80, Hartwick, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 547-8286.
NPI number for Shannon Davis is 1780123646 and her current mailing address is 4340 State Highway 80, Hartwick, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780123646.
Healthcare Provider's Profile
Full Name | Shannon Davis |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 4340 State Highway 80, Hartwick, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780123646
- Provider Enumeration Date: 02/13/2017
- Last Update Date: 02/13/2017
Medical Identifiers
Medical identifiers for Shannon Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780123646 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 8674081 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shannon Davis, MS, RD 4340 State Highway 80, Hartwick, NY 13348-2714 Ph: () - | Shannon Davis, MS, RD 4340 State Highway 80, Hartwick, NY 13348-2714 Ph: (607) 547-8286 |
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