| Shannon Nicole Gregg, RD, LD | |
|
1721 Rio Rancho Dr Se, Rio Rancho, NM 87124-1052 | |
| (505) 896-8600 | |
| (505) 895-8687 |
| Full Name | Shannon Nicole Gregg |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1721 Rio Rancho Dr Se, Rio Rancho, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679848485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD-0852 (New Mexico) | Primary |
| Provider Name | Unm Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Nicole Gregg, RD, LD 800 Bradbury Dr Se Ste 116, Albuquerque, NM 87106-4310 Ph: (505) 272-1476 | Shannon Nicole Gregg, RD, LD 1721 Rio Rancho Dr Se, Rio Rancho, NM 87124-1052 Ph: (505) 896-8600 |
Miss Valerie Paige Wesselink, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2400 Unser Blvd Se, Rio Rancho, NM 87124 Phone: 505-253-3230 | |
Mrs. Shanice Rodriguez, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6789 Cleary Loop Ne, Rio Rancho, NM 87144 Phone: 505-366-8034 | |
Sandra M Crum, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1350 Jackie Rd Se, Suite 104, Rio Rancho, NM 87124 Phone: 505-515-3982 Fax: 505-792-6060 | |
Dr. Laura M Taber, PHD, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 273 Nicklaus Dr Se, Rio Rancho, NM 87124 Phone: 505-353-2951 | |
Prof. Robin G Towle, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2400 Unser Blvd Se, Rio Rancho, NM 87124 Phone: 505-253-6100 | |
Ms. Dianne M Crowley, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1721 Rio Rancho Blvd Se, Rio Rancho, NM 87124 Phone: 505-342-8408 |