Shannon Randall, RD, LDN is a
Dietitian, Registered based in Sanford, Florida. Shannon Randall is licensed to practice in Florida (license number ND 6401) and her current practice location is
355 Cabana View Way, Sanford, Florida. She can be reached at her office (for appointments etc.) via phone at
(321) 696-5777.
NPI number for Shannon Randall is 1841613759 and her current mailing address is 355 Cabana View Way, Sanford, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841613759.
Healthcare Provider's Profile
Full Name | Shannon Randall |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 355 Cabana View Way, Sanford, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841613759
- Provider Enumeration Date: 01/28/2014
- Last Update Date: 01/28/2014
Medical Identifiers
Medical identifiers for Shannon Randall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841613759 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | ND 6401 (Florida) | 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 Randall 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 Randall, RD, LDN 355 Cabana View Way, Sanford, FL 32771-5224 Ph: (321) 696-5777 | Shannon Randall, RD, LDN 355 Cabana View Way, Sanford, FL 32771-5224 Ph: (321) 696-5777 |
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