Shelby Erin Slenkamp, MS, RDN, CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI60989156 Issued in WA

Practice address

18122 Sr 9 Ste D
Snohomish, WA 98296-5384

Phone

(425) 422-6895

Fax

(833) 563-0471

NPI assigned

Aug 13, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Shelby Slenkamp Ms RDN CD PLLC

  • Registered Dietitian
  • Snohomish, WA
  • NPI 1578417374

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1790331056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 945",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982910945",
            "telephone_number": "425-422-6895",
            "fax_number": "833-563-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18122 SR 9 STE D",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982965384",
            "telephone_number": "425-422-6895",
            "fax_number": "833-563-0471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7708 74th St SE",
            "address_purpose": "LOCATION",
            "city": "Snohomish",
            "state": "WA",
            "postal_code": "982905813",
            "country_code": "US",
            "telephone_number": "425-422-6895",
            "fax_number": "833-563-0471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLENKAMP",
        "first_name": "SHELBY",
        "middle_name": "ERIN",
        "credential": "MS, RDN, CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2023-05-11",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60989156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WASHINGTON DEPARTMENT OF HEALTH",
            "identifier": "DI60989156",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "86092126",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2140258",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Snohomish, WA
• Providers in Snohomish, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.