Individual provider Active NPI

Shannon Dee Segerstrom, HHC, FNMS

  • Health & Wellness Coach
  • Bend, OR
National Provider Identifier
1144171794
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
1279 NE 2ND St
Bend, OR 97701-4343
Phone
(541) 419-9699
NPI assigned
Feb 9, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X
Health & Wellness Coach 171400000X Primary

Addresses

Primary practice location

1279 NE 2ND St
Bend, OR 97701-4343

Mailing address

1840 NE Yellowstone LN
Bend, OR 97701-6580
Phone (541) 419-9699

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

NPI Registry JSON

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

{
    "created_epoch": "1770595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1144171794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 NE YELLOWSTONE LN",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016580",
            "telephone_number": "541-419-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1279 NE 2ND ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014343",
            "telephone_number": "541-419-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGERSTROM",
        "first_name": "SHANNON",
        "middle_name": "DEE",
        "name_prefix": "Mrs.",
        "credential": "HHC, FNMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-09",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.