Active NPI
Shannon Michelle Galyean, PHD, RD, LD
- Registered Dietitian
- Lubbock, TX
National Provider Identifier
1275627473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT06360
- Practice address
- 3805 22ND Place
Lubbock, TX 79414 - Phone
- (806) 535-2492
- NPI assigned
- Oct 3, 2006
- 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 | DT06360 | TX | Primary |
Addresses
Primary practice location
3805 22ND Place
Lubbock, TX 79414
Mailing address
3113 95TH St
Lubbock, TX 79423-4009
Phone (806) 535-2492
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT06360 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460073600000",
"number": "1275627473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3113 95TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794234009",
"telephone_number": "806-535-2492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 22ND PLACE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79414",
"telephone_number": "806-535-2492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALYEAN",
"first_name": "SHANNON",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "PHD, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2016-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT06360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.