Shine Functional Medicine LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

SHINE FUNCTIONAL MEDICINE LLC

Practice address

1633 Bellevue Ave Ste a
Seattle, WA 98122-6820

Phone

(206) 734-8370

Fax

(206) 237-0773

NPI assigned

Dec 15, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Megan Alicia Debell, MDNPI 1568524395

Title

Owner

Phone

(206) 734-8370

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan A Debell, MD

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1568524395
  NPD (past) Authorized official
• Kirsten Alyse Ramsdell, CN

  • Nutritionist
  • Seattle, WA
  • NPI 1659841823
  NPD (past)

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1376087940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 7TH AVE STE 116",
            "address_2": "PMB #300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 BELLEVUE AVE STE A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226820",
            "telephone_number": "206-734-8370",
            "fax_number": "206-237-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE FUNCTIONAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "DEBELL",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-734-8370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayne Shin
• Ji Young Shin, OTR/L
• Jiye Shin, L.AC.
• Kseniya Shin
• Rachel Shinabarger, LMHCA
• Shine on Health
• Alaina Marie Shine, MD
• Laura Shine
• Erin Shingler, RN
• Michi M Shinohara, MD

• Medical Specialty Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Medical Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.