IndividualActive
Shannon Gist, RD, LD
NPI 1386242394 · Registered Dietitian · Henderson, NV
Shannon Gist, RD, LD is a Registered Dietitian provider in Henderson, NV (NPI 1386242394).
Provider details
- NPI number
- 1386242394
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LD
- Sex
- Female
- Sole proprietor
- No
- License
- 39778-DI-0 (NV)
Practice location
871 Coronado Center Dr Ste 261
Henderson, NV 89052-3977
Phone: (702) 830-9685
Fax: (702) 623-2921
Street-level locationGet directions
Mailing address
871 Coronado Center Dr Ste 200
Henderson, NV 89052-3977
Registry dates
- Enumerated
- 2020-10-12
- Last updated
- 2020-10-12
- Certified
- 2020-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.