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

Shannon Michelle Sundberg, MS, RD, CD

Individual provider Pediatric Nutrition Registered Dietitian · NPI 1154670503

Shannon Michelle Sundberg, MS, RD, CD is a Pediatric Nutrition Registered Dietitian in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2012
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

100 Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone: (801) 277-1207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nutrition Registered Dietitian (primary) Taxonomy 133VN1004X · Licence 3781234901 (UT)

Record details

NPI number1154670503
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , CD
Sole proprietorYes
NPI enumeratedAugust 30, 2012
Last updated in NPPESAugust 30, 2012

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