Martha Jane Shanahan, RD, CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI00001835 Issued in WA

Practice address

126 Auburn Ave
Suite 400
Auburn, WA 98002-5057

Phone

(206) 205-6808

NPI assigned

Nov 20, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Martha Jane Yarbrough Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1083788475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2372 FRANKLIN AVE E",
            "address_2": "APT A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023330",
            "telephone_number": "206-399-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 AUBURN AVE",
            "address_2": "SUITE 400",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025057",
            "telephone_number": "206-205-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANAHAN",
        "first_name": "MARTHA",
        "middle_name": "JANE",
        "credential": "RD, CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00001835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8457459",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "YARBROUGH",
            "middle_name": "JANE",
            "credential": "RD, CD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Demi Grisel Serrano, DPT
• Jazylyn Nia Seumalo, BA
• Lee Severson, MA, LMHCA
• Enne Shah, DO
• Rajshree B Shah, MD
• Kaitlyn Marie Sharp
• Shaun S. Lee D.D.S
• Shannon Elizabeth Shaw, COTA/L
• Sheila Z. Kennedy, D.O.
• Elizabeth Shepherd, M.A.

• Registered Dietitian in Auburn, WA
• Providers in Auburn, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.