Active NPI
Ross Shumway, RDN
- Registered Dietitian
- Buckeye, AZ
National Provider Identifier
1548096548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86076439
- Practice address
- 2376 N Heritage St
Buckeye, AZ 85396-1624 - Phone
- (978) 314-6876
- NPI assigned
- Sep 9, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86076439 | Primary |
Addresses
Primary practice location
2376 N Heritage St
Buckeye, AZ 85396-1624
Mailing address
7219 N Litchfield Rd BLDG 1130
Luke Air Force Base, AZ 85309-1529
Phone (623) 856-2296
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 |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781913600000",
"number": "1548096548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7219 N LITCHFIELD RD BLDG 1130",
"city": "LUKE AIR FORCE BASE",
"state": "AZ",
"postal_code": "853091529",
"telephone_number": "623-856-2296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2376 N HERITAGE ST",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853961624",
"telephone_number": "978-314-6876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUMWAY",
"first_name": "ROSS",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-09",
"last_updated": "2026-06-20",
"certification_date": "2026-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86076439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buckeye, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.