Active NPI
Sherrie Leeanne Shelley, NTP
- Nutritionist
- Edmonds, WA
National Provider Identifier
1528328259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Practice address
- 22019 Highway 99
Suite a
Edmonds, WA 98026-8023 - Phone
- (425) 774-2411
- NPI assigned
- May 29, 2012
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Primary |
Addresses
Primary practice location
22019 Highway 99
Suite a
Edmonds, WA 98026-8023
Mailing address
22019 Highway 99
Suite a
Edmonds, WA 98026-8023
Phone (425) 774-2411
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympic Spine and Sports Therapy PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Mountlake Terrace, WA
- NPI 1629250980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338249600000",
"number": "1528328259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22019 HIGHWAY 99",
"address_2": "SUITE A",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980268023",
"telephone_number": "425-774-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22019 HIGHWAY 99",
"address_2": "SUITE A",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980268023",
"telephone_number": "425-774-2411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELLEY",
"first_name": "SHERRIE",
"middle_name": "LEEANNE",
"credential": "NTP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-29",
"last_updated": "2012-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.