Julie A Shevlin, R.D.

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

DI00001350 Issued in WA

Practice address

2125 Vernon Rd
Lake Stevens, WA 98258-8515

Phone

(206) 790-0010

NPI assigned

Oct 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1114115235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 VERNON RD",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982588515",
            "telephone_number": "206-790-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 VERNON RD",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982588515",
            "telephone_number": "206-790-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEVLIN",
        "first_name": "JULIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00001350",
            "primary": false
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "WA",
            "license": "DI00001350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8345928",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dhruvi Ramanbhai Shah
• Robert Michael Shandera, DDS
• Shanlee Stephens
• Ashley Nicole Sherman, LMP
• Sherwood Community Services
• Sarah Shields
• Calen Shula, DPT
• Margaret Grace Siemer, OTR/L; CLT
• Hiram Silva
• Emily Sims, SLP

• Pediatric Nutrition Registered Dietitian in Lake Stevens, WA
• Providers in Lake Stevens, WA by specialty
• Pediatric Nutrition Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.