Individual provider Active NPI

Jessica Michelle Shenson, RD

  • Registered Dietitian
  • Sherman Oaks, CA
National Provider Identifier
1184366692
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
817044 Issued in CA
Practice address
5226 Atoll Ave
Sherman Oaks, CA 91401-6016
Phone
(310) 210-8310
NPI assigned
Apr 13, 2022
Last updated
Apr 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 817044 CA Primary

Addresses

Primary practice location

5226 Atoll Ave
Sherman Oaks, CA 91401-6016

Mailing address

5226 Atoll Ave
Sherman Oaks, CA 91401-6016
Phone (310) 210-8310

Other practice location 1

15031 Rinaldi St
Mission Hills, CA 91345-1207
Phone (818) 365-8051

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

LicenseStateTypeSpecialty
817044CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1184366692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5226 ATOLL AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914016016",
            "telephone_number": "310-210-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5226 ATOLL AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914016016",
            "telephone_number": "310-210-8310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15031 Rinaldi St",
            "address_purpose": "LOCATION",
            "city": "Mission Hills",
            "state": "CA",
            "postal_code": "913451207",
            "country_code": "US",
            "telephone_number": "818-365-8051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHENSON",
        "first_name": "JESSICA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "817044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.