Active NPI
Isabelle Shamblin, RDN
- Registered Dietitian
- Martinsburg, WV
National Provider Identifier
1033958202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT88525
- Practice address
- 510 Butler Ave
Martinsburg, WV 25405-9991 - Phone
- (304) 263-0811
- NPI assigned
- May 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT88525 | TX | Primary |
Addresses
Primary practice location
510 Butler Ave
Martinsburg, WV 25405-9991
Mailing address
59 Sirius Dr
Kearneysville, WV 25430-1413
Phone (318) 349-3031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT88525 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1033958202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 SIRIUS DR",
"city": "KEARNEYSVILLE",
"state": "WV",
"postal_code": "254301413",
"telephone_number": "318-349-3031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 BUTLER AVE",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254059991",
"telephone_number": "304-263-0811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMBLIN",
"first_name": "ISABELLE",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-20",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT88525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.