Ingrid Doris Shaginoff, MS RD LN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2 Issued in AK

Practice address

2000 E Industrial Dr
Wasilla, AK 99654-8201

Phone

(907) 357-3003

Fax

(907) 357-3003

NPI assigned

Dec 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1558545707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E INDUSTRIAL DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548201",
            "telephone_number": "907-357-3003",
            "fax_number": "907-357-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E INDUSTRIAL DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548201",
            "telephone_number": "907-357-3003",
            "fax_number": "907-357-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAGINOFF",
        "first_name": "INGRID",
        "middle_name": "DORIS",
        "name_prefix": "Ms.",
        "credential": "MS RD LN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "AK",
            "license": "2",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AK",
            "license": "2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DT00022",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Registered Dietitian in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.