Shawna Rae Zubiate, R.N.,C.D.E.,CASE MAN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

4763956-3102 Issued in UT

Practice address

6822 East 1000 South
Ft . Duchesne, UT 84026

Phone

(435) 725-6894

NPI assigned

May 10, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1467898908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6822 EAST 1000 SOUTH",
            "city": "FT . DUCHESNE",
            "state": "UT",
            "postal_code": "84026",
            "telephone_number": "435-725-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6822 EAST 1000 SOUTH",
            "city": "FT . DUCHESNE",
            "state": "UT",
            "postal_code": "84026",
            "telephone_number": "435-725-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBIATE",
        "first_name": "SHAWNA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "R.N.,C.D.E.,CASE MAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "UT",
            "license": "4763956-3102",
            "primary": true
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "UT",
            "license": "20120250",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jake Richardson, D.M.D.
• Uintah & Ouray Indian Health Services
• Ute Tribe Alcohol/Substance Abuse Prevention
• Shayna Murdock Young, M.D.
• Lawrence Michael Zubel, O.D.

• Diabetes Educator Registered Nurse in Ft . Duchesne, UT
• Providers in Ft . Duchesne, UT by specialty
• Diabetes Educator Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.