Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174294474 Individual Practitioner Female Practitioner

Shannon Rose Wacker , RD, LDN

Dietitian, Registered • Bethlehem, PA

Professional Overview & Biography Verified Profile Summary

Shannon Wacker, RD, LDN is a registered healthcare professional specializing in Dietitian, Registered in Bethlehem, PA. Practice services are available at 2545 SCHOENERSVILLE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2545 Schoenersville Rd

Bethlehem, PA 180177300

Telephone 5168067758
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Bethlehem, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 17.1 Yrs
Regional Practice Density
42 Specialists

Practicing in Bethlehem, PA (3119 Statewide)

Telehealth Adoption Rate
7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-09-26
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License PA DN006977

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Stephanie Cohrac , DO

Emergency Medicine

NPI 1003127291

Doctor of Osteopathic Medicine (D.O.)

Christine Gabrielle , CRNP

Nurse Practitioner - Family

NPI 1003603150

Certified Registered Nurse Practitioner

Dr. Michael Wong , MD

Emergency Medicine

NPI 1003745514

Doctor of Medicine (M.D.)

Amanda Stone , RD

Dietitian, Registered

NPI 1013525443

Registered Dietitian

Stacy Spadt , LCSW

Social Worker - Clinical

NPI 1013865393

Licensed Clinical Social Worker

Dr. Gonzalo Pimentel , MD

Internal Medicine

NPI 1013940592

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 26, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 26, 2021

Registered at 2545 SCHOENERSVILLE RD, BETHLEHEM, PA 180177300 (Tel: 5168067758)

📍
Updated Business Mailing Address September 26, 2021

Registered at 4531 PARK VIEW DR APT R10, SCHNECKSVILLE, PA 180782555

👤
Provider Name / Credentials Updated September 26, 2021

Recorded as SHANNON WACKER, RD, LDN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2021

Dietitian, Registered (License #DN006977 in PA)

🟢
Initial NPI Registration & Enumeration September 26, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174294474
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2021
Last Update: September 26, 2021
Sole Proprietor: No

Mailing Address

4531 Park View Dr Apt R10

Schnecksville, PA 180782555

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.