Shealyn Michelle Barron

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86331102 Issued in CA

Practice address

1345 Haven LN Apt B
McKinleyville, CA 95519-4716

Phone

(831) 348-9404

NPI assigned

Oct 16, 2018

Reactivated

Nov 28, 2018

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

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• As You Are Nutrition Inc

  • Registered Dietitian
  • Napa, CA
  • NPI 1437772811

  Dietitian, Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1629544820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 HAVEN LN APT B",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955194716",
            "telephone_number": "831-348-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 HAVEN LN APT B",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955194716",
            "telephone_number": "831-348-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRON",
        "first_name": "SHEALYN",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "deactivation_date": "2018-11-03",
        "reactivation_date": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86331102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin David Arnold, MD
• Johanna Baca
• Heather K Baefsky, L.AC.
• Xiclaly Jailene Barajas
• Abbey Bare
• Susan Baughman, M.A., CCC-SLP
• Keily Becerra
• Chris Beeman, PHARM D
• Sonali Bera, PT
• Corey Bigoni

• Registered Dietitian in McKinleyville, CA
• Providers in McKinleyville, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.