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LISA RAYNELLE SHELLEY RD LD CDE BC-ADM NPI 1659529378


NPI Information

NPI: 1659529378
Provider Name: LISA RAYNELLE SHELLEY, RD, LD, CDE, BC-ADM
Classification: Dietitian, Registered - 133V00000X
Entity Type: Individual
Address:
2460 CURTIS ELLIS DR
ROCKY MOUNT, NC
ZIP 27804
Phone: (806) 212-0577
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Lisa Raynelle Shelley, RD, LD, CDE, BC-ADM is a dietitian registered in Rocky Mount, NC with 3 years of experience. The provider is 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. Lisa Raynelle Shelley, RD, LD, CDE, BC-ADM NPI is 1659529378. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2460 CURTIS ELLIS DR
ROCKY MOUNT, NC
ZIP 27804
Phone: (806) 212-0577
Fax: (806) 212-0563

The enumeration date for this NPI number is 9/6/2008 and was last updated on 8/20/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, RegisteredDT80908TEXASNo
2133V00000XDietitian, RegisteredL005339NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200913419OTHERAMERICAN ASSOCIATION OF DIABETIC EDUCATORS
2942472OTHERTEXASAMERICAN DIETETIC ASSOCIATION
3DT80908OTHERTEXASTEXAS STATE BOARD OF EXAMINERS OF DIETITIANS
420120483OTHERNCBDE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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