Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Grant-Hailey, RD, CDN

Individual provider Registered Dietitian · NPI 1083253090

Shannon Grant-Hailey, RD, CDN is a Registered Dietitian in Bronx, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-8468
Fax: (718) 654-7648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X (NY)

Record details

NPI number1083253090
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , CDN
Sole proprietorNo
NPI enumeratedDecember 23, 2019
Last updated in NPPESJanuary 13, 2020
Certification dateJanuary 13, 2020

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