Active NPI
Shanley Morgan Schoenhofer, RD
- Registered Dietitian
- West Sacramento, CA
National Provider Identifier
1235882085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86117597
- Practice address
- 500B Jefferson Blvd Ste 180
West Sacramento, CA 95605 - Phone
- (916) 403-2900
- NPI assigned
- Feb 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86117597 | CA | Primary |
Addresses
Primary practice location
500B Jefferson Blvd Ste 180
West Sacramento, CA 95605
Mailing address
500B Jefferson Blvd Ste 180
West Sacramento, CA 95605-4876
Phone (916) 403-2900
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86117597 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1235882085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500B JEFFERSON BLVD STE 180",
"city": "WEST SACRAMENTO",
"state": "CA",
"postal_code": "956054876",
"telephone_number": "916-403-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500B JEFFERSON BLVD STE 180",
"city": "WEST SACRAMENTO",
"state": "CA",
"postal_code": "95605",
"telephone_number": "916-403-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOENHOFER",
"first_name": "SHANLEY",
"middle_name": "MORGAN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-01",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86117597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.