Healthcare Provider Details

I. General information

NPI: 1558276014
Provider Name (Legal Business Name): DANIELLE ROBIN SHAWVER RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 N BRIGHTLEAF BLVD
SMITHFIELD NC
27577-4407
US

IV. Provider business mailing address

1280 WILDGRASS DR APT 8202
RALEIGH NC
27607-6146
US

V. Phone/Fax

Practice location:
  • Phone: 919-938-6682
  • Fax:
Mailing address:
  • Phone: 301-606-7299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberL010196
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: