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

Mr. Shannon James Hollister, CERTIFIEDNUTRITIONI

Individual provider Nutritionist · NPI 1013533678

Mr. Shannon James Hollister, CERTIFIEDNUTRITIONI is a Nutritionist in Kingsley, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2020

Practice location Address checks out

13936 Sr 106
Kingsley, PA 18826
Phone: (570) 468-1528
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X (PA)

Record details

NPI number1013533678
Entity typeIndividual (Type 1)
GenderMale
Credentials CERTIFIEDNUTRITIONI
Sole proprietorYes
NPI enumeratedJune 19, 2020
Last updated in NPPESJune 19, 2020
Certification dateJune 19, 2020