Ms. Shannon Green, RDCDECSRLDN
Pediatric Nutrition Registered Dietitian in Catonsville, Maryland
NPI 1164573275
Shannon Green is a Pediatric Nutrition Registered Dietitian based in Randallstown, MD and is specialized in Nutrition, Pediatric. Shannon Green practices in Catonsville, MD and has the professional credentials of RDCDECSRLDN. The NPI Number for Shannon Green is 1164573275 and holds a License No. D01526 (Maryland).
The current practice location address for Shannon Green is 1011 Ingleside Ave, Catonsville, MD and can be reached out via phone at 410-877-6077 and via fax at 410-877-6087.
Location: 1011 Ingleside Ave, Catonsville, MD, 21133-4065
Provider Profile Details
NPI Number
1164573275
Provider Name
Shannon Green
Credential
RDCDECSRLDN
Provider Entity Type
Individual
Gender
Female
Address
1011 Ingleside Ave, Catonsville, MD, 21133-4065
Phone Number
410-877-6077
Fax Number
410-877-6087
Provider Enumeration Date
01/15/2007
Last Update Date
03/08/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61553701 | 01 | MD | CAREFIRST BLUE CROSS BLUE SHIEDL |
| G3980001 | 01 | MD | GROUP HOSPITALIZATION AND MEDICAL SERVICES, INC |
| 3072804 | 01 | MD | AETNA, HMO |
| 400754900 | 05 | MD | |
| 7455454 | 01 | MD | AETNA,NON HMO |
| 2122754 | 01 | UNITEDHEALTHCARE |
Provider Business Practice Location Address Details
Address
1011 Ingleside Ave
City
State
Zip
21228-1318
Phone Number
410-877-6077
Fax Number
410-877-6087
Provider Business Mailing Address Details
Address
1011 Ingleside Ave
City
State
Zip
21228-1318
Phone Number
410-877-6077
Fax Number
410-877-6087
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Nutritionist
Speciality
-
Taxonomy
License No.
D01526 (Maryland)
Definition
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
Provider's Taxonomy Details 2
Type
Dietary & Nutritional Service Providers
Classification
Nutritionist
Speciality
Nutrition, Education
Taxonomy
License No.
D01526 (Maryland)
Definition
Definition to come...
Provider's Taxonomy Details 3
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
License No.
D01526 (Maryland)
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Provider's Taxonomy Details 4
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Pediatric
Taxonomy
License No.
D01526 (Maryland)
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
Provider's Taxonomy Details 5
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Renal
Taxonomy
License No.
DI100000367 (District of Columbia)
Definition
An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.
Provider's Taxonomy Details 6
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Metabolic
Taxonomy
License No.
D01526 (Maryland)
Definition
Definition to come...
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