Shannon Roark, MS, RDN, CLC
NPI 1174722029 · Registered Dietitian · Johnson City, TN
Shannon Roark, MS, RDN, CLC is a Registered Dietitian provider in Johnson City, TN (NPI 1174722029).
Provider details
- NPI number
- 1174722029
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RDN, CLC
- Sex
- Female
- Sole proprietor
- No
- License
- 917714 (TN)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2007-07-12
- Last updated
- 2025-03-24
- Certified
- 2025-03-24
Frequently asked questions
- What is Shannon Roark's NPI number?
- Shannon Roark's National Provider Identifier (NPI) is 1174722029, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Roark's specialty?
- Shannon Roark is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Shannon Roark located?
- Shannon Roark's practice location on file with NPPES is 185 Treasure Ln, Johnson City, TN 37604-7816.
- What is Shannon Roark's phone number?
- The practice phone number listed in the NPPES registry for Shannon Roark is (423) 202-6404.
- Is Shannon Roark's NPI active?
- Yes — Shannon Roark's NPI (1174722029) is active in the NPPES registry as of the last update on 2025-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.