Active NPI
Shawna Rosa, RD, CEDS
- Registered Dietitian
- Buckeye, AZ
National Provider Identifier
1639844178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 3381 N 202ND Ave
Buckeye, AZ 85396-8725 - Phone
- (909) 851-1332
- NPI assigned
- Aug 16, 2021
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
3381 N 202ND Ave
Buckeye, AZ 85396-8725
Mailing address
3381 N 202ND Ave
Buckeye, AZ 85396-8725
Other practice location 1
9479 Haven Ave
Rancho Cucamonga, CA 91730-5844
Phone (909) 771-8023
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 |
|---|---|---|---|
| Bamboo Nutrition, LLC | Dietitian, Registered | Past | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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": "1629072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1639844178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3381 N 202ND AVE",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853968725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3381 N 202ND AVE",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853968725",
"telephone_number": "909-851-1332"
}
],
"practiceLocations": [
{
"address_1": "9479 Haven Ave",
"address_purpose": "LOCATION",
"city": "Rancho Cucamonga",
"state": "CA",
"postal_code": "917305844",
"country_code": "US",
"telephone_number": "909-771-8023",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSA",
"first_name": "SHAWNA",
"name_prefix": "Mrs.",
"credential": "RD, CEDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-16",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"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 Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.