- Practice location
- 100 Church St Fl 8, New York, NY 10007-2614
- Phone
- 216-423-6468
- Fax
- —
- Last updated
- September 9, 2026
Tara Nicole Shattuck is a Dietitian, Registered based in New York, NY. Tara Nicole Shattuck practices in New York, NY and has the professional credentials of MPS, RD, LDN. The NPI Number for Tara Nicole Shattuck is 1134039555. The current practice location address for Tara Nicole Shattuck is 100 Church St Fl 8, New York, NY 10007-2614 and can be reached out via phone at 216-423-6468.
Provider Profile Details
- NPI Number
- 1134039555
- Provider Name
- Tara Nicole Shattuck
- Credential
- MPS, RD, LDN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 Church St Fl 8, New York, NY 10007-2614
- Phone Number
- 216-423-6468
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 9, 2026
- Last Update Date
- September 9, 2026
- Certification Date
- September 9, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Church St Fl 8
New York, NY 10007-2614 - City
- New York
- State
- New York
- Zip
- 10007-2614
- Phone Number
- 216-423-6468
Provider Business Mailing Address Details
- Address
- 100 Church St Fl 8
New York, NY 10007-2614 - City
- New York
- State
- NY
- Zip
- 10007-2614
License Information
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tara N Shattuck, MPS, RD, LDN?
The NPI number of Tara N Shattuck, MPS, RD, LDN is 1134039555. It was assigned on September 9, 2026 and is currently active in the NPPES registry.
What is the specialty of Tara N Shattuck, MPS, RD, LDN?
Tara N Shattuck, MPS, RD, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).
Where does Tara N Shattuck, MPS, RD, LDN practice?
The practice location is 100 Church St Fl 8, New York, NY 10007-2614. The office can be reached at 216-423-6468 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134039555 directly on the NPPES registry website.