Shannon Grube, MS, RDN, CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI00001748 Issued in WA

Practice address

720 SE Pioneer Way Ste 1B
Oak Harbor, WA 98277-3203

Phone

(360) 544-2466

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Island Nutrition, PLLC

  • Medical Specialty Clinic/Center
  • Oak Harbor, WA
  • NPI 1841098753
  NPD Authorized official
• Neogenesis Nutrition Inc

  • Health Service Clinic/Center
  • University Place, WA
  • NPI 1861191868
  NPD
• Island Nutrition and Wellness LLC

  • Nutritionist
  • Mercer Island, WA
  • NPI 1396506812
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1598838609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 SW JUDSON DR",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775802",
            "telephone_number": "360-544-2466",
            "fax_number": "360-873-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SE PIONEER WAY STE 1B",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773203",
            "telephone_number": "360-544-2466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "418 SW Judson Dr",
            "address_purpose": "LOCATION",
            "city": "Oak Harbor",
            "state": "WA",
            "postal_code": "982775802",
            "country_code": "US",
            "telephone_number": "360-544-2466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUBE",
        "first_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "MS, RDN, CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00001748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2279837",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1841098753",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF TREASURY",
            "identifier": "93-2187230",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory W. Olson, DDS PLLC
• Sandra Gross, PT
• Max Jacob Grossman
• Maira Grove
• Nicole Grove
• Walter Gruenwald, OTR/L
• Jeffrey Joseph Guisinger, REGISTERED NURSE
• Lindsey Gulberg
• Clara Gusenius
• Lauren Katherine Gutschlag

• Registered Dietitian in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.