Active NPI
Wilma Shaw X, NTP
- Nutrition Education Nutritionist
- Seattle, WA
National Provider Identifier
1386155232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 2344
- Practice address
- 6300 9TH Ave NE Ste 200
Seattle, WA 98115-8516 - Phone
- (206) 898-7299
- NPI assigned
- Oct 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 2344 | WA | Primary |
Addresses
Primary practice location
6300 9TH Ave NE Ste 200
Seattle, WA 98115-8516
Mailing address
3017 NW 73Rd St
Seattle, WA 98117-6268
Phone (206) 898-7299
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2344 | WA | MD | Nutrition Education Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508284800000",
"number": "1386155232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3017 NW 73RD ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981176268",
"telephone_number": "206-898-7299",
"fax_number": "206-898-7299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 9TH AVE NE STE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981158516",
"telephone_number": "206-898-7299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "WILMA",
"name_prefix": "Ms.",
"name_suffix": "X",
"credential": "NTP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-18",
"last_updated": "2017-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "WA",
"license": "2344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.