Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mallory Shannon, RD, LD

Individual provider Registered Dietitian · NPI 1902403611

Mallory Shannon, RD, LD is a Registered Dietitian in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2020.

Licensed in
OK
In the registry since
2020
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

6565 S Yale Ave
Tulsa, OK 74136-8327
Phone: (918) 491-3700
Fax: (918) 481-4063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 2529 (OK)

Record details

NPI number1902403611
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LD
Sole proprietorNo
NPI enumeratedOctober 6, 2020
Last updated in NPPESJune 11, 2021
Certification dateJune 11, 2021

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