Valery Lynn Shaw, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

847620 Issued in UT

Practice address

1100 S Medical Dr
Mount Pleasant, UT 84647-2222

Phone

(435) 462-4631

Fax

(801) 442-0066

NPI assigned

Apr 14, 2009

Last updated

Apr 14, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239667200000",
    "number": "1194968651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30180",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841300180",
            "telephone_number": "435-462-4631",
            "fax_number": "801-442-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S MEDICAL DR",
            "city": "MOUNT PLEASANT",
            "state": "UT",
            "postal_code": "846472222",
            "telephone_number": "435-462-4631",
            "fax_number": "801-442-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "VALERY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "847620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Saxey, CRNA
• Angela Mariko Schweitzer-Hendriks, MS,OTR/L
• Seely Enterprises (Terrels Pharmacy)
• Susana Elvia Semmens
• Sequel Youth Services of Mt. Pleasant (Mt Pleasant Academy)
• Lillian Simiskey
• Skyline Pharmacy Inc.
• Amberlee Lynn Smith, CSW
• Brian Smith
• Austin Soper, N/A

• Registered Dietitian in Mt Pleasant, UT
• Providers in Mt Pleasant, UT by specialty
• Registered Dietitian in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.