IndividualActive
Kimberly Shannon, RD
NPI 1093365975 · Registered Dietitian · Charlotte, NC
Kimberly Shannon, RD is a Registered Dietitian provider in Charlotte, NC (NPI 1093365975).
Provider details
- NPI number
- 1093365975
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3507 Craughwell Dr
Charlotte, NC 28209-1994
Phone: (704) 609-9565
Street-level locationGet directions
Mailing address
3507 Craughwell Dr
Charlotte, NC 28209-1994
Registry dates
- Enumerated
- 2019-09-12
- Last updated
- 2019-09-12
Frequently asked questions
- What is Kimberly Shannon's NPI number?
- Kimberly Shannon's National Provider Identifier (NPI) is 1093365975, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Shannon's specialty?
- Kimberly Shannon is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Kimberly Shannon located?
- Kimberly Shannon's practice location on file with NPPES is 3507 Craughwell Dr, Charlotte, NC 28209-1994.
- What is Kimberly Shannon's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Shannon is (704) 609-9565.
- Is Kimberly Shannon's NPI active?
- Yes — Kimberly Shannon's NPI (1093365975) is active in the NPPES registry as of the last update on 2019-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.