Active NPI
Shena Rose Jaramillo, R.D, C.D
- Registered Dietitian
- Ellensburg, WA
National Provider Identifier
1801247986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI-60509103
- Practice address
- 413 N Main St
Suite J
Ellensburg, WA 98926-3183 - Phone
- (509) 899-0226
- NPI assigned
- Jun 29, 2016
- 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 | DI-60509103 | WA | Primary |
Addresses
Primary practice location
413 N Main St
Suite J
Ellensburg, WA 98926-3183
Mailing address
PO Box 1146
Kittitas, WA 98934-1146
Phone (509) 607-8972
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI-60509103 | WA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474848000000",
"number": "1801247986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1146",
"city": "KITTITAS",
"state": "WA",
"postal_code": "989341146",
"telephone_number": "509-607-8972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 N MAIN ST",
"address_2": "SUITE J",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989263183",
"telephone_number": "509-899-0226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARAMILLO",
"first_name": "SHENA",
"middle_name": "ROSE",
"name_prefix": "Ms.",
"credential": "R.D, C.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-29",
"last_updated": "2016-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI-60509103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellensburg, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.