Shayla Kilgannon, RDN, IFNCP

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI61126435 Issued in WA

Practice address

4500 9TH Ave NE Ste 300
Seattle, WA 98105-4762

Phone

(206) 853-0534

NPI assigned

Feb 25, 2022

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1346996501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12709 1ST AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981774221",
            "telephone_number": "904-521-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 9TH AVE NE STE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054762",
            "telephone_number": "206-853-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILGANNON",
        "first_name": "SHAYLA",
        "credential": "RDN, IFNCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI61126435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Koichi Alden Kikushima, ARNP
• Jessica Kikuta, RN
• Claire N Kilcoyne, AUD
• Patrick Thomas Kilcoyne, MA., LMFT
• Leanne M Kildare, MD
• Sony Pamela Kilgore-Martin, MD
• Jack Eldon Kilgore III, MD
• Mark Robert, Michael Kilgore, M.D.
• Rachel M Kilgore, DPT, COMPT
• William Arthur Kilgore, R.R.T.

• Registered Dietitian in Seattle, WA
• Providers in Seattle, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.