Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS SHENNA YVONNE GRAHAM, RDN, LMBT
Deactivated Sole ProprietorRegistered Dietitian · CHARLOTTE, NC
This NPI has been deactivated.
The record was deactivated on March 12, 2012.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1619117876
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 2, 2009 (3.027397260274 yrs)
- Last Updated
- Jun 20, 2019
- Deactivated
- Mar 12, 2012
- Licenses
-
L002360 (NC)L002360 (NC)06188 (NC)L002360 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8731 BRAMPTON DRIVECHARLOTTE, NC, 28215Browse NC providers · Browse ZIP 28215
- Phone
- 7048067510
- Primary Specialty
-
Registered Dietitian
133V00000X
- Additional Specialty
- Nutrition, Education
- Additional Specialty
- Massage Therapist
- Additional Specialty
- Registered Dietitian
Other Registered Dietitian Providers in CHARLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| YOLANDA MICHELLE DAVIS | RD | 1932191731 |
| TRACY LYNN EASTRIDGE | RD | 1992789341 |
| BRENDA JEAN ROHE | RD | 1942279302 |
| JULIA LYN DEFIORE | RD | 1346290988 |
| MRS. THERESA AILEEN VIRSIK | R.D., C.D.E | 1043262413 |
| BOBBIE FISH LONG | RD | 1871521310 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.