Individual provider Active NPI

Shelley Altman, RD, LD

  • Registered Dietitian
  • Frisco, TX
National Provider Identifier
1801355193
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
852197 Issued in TX
Practice address
3245 Main St Ste 235-530
Frisco, TX 75034-4411
Phone
(979) 574-3390
NPI assigned
Mar 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X
Registered Dietitian 133V00000X 852197 TX Primary

Addresses

Primary practice location

3245 Main St Ste 235-530
Frisco, TX 75034-4411

Mailing address

3245 Main St Ste 235-530
Frisco, TX 75034-4411
Phone (979) 574-3390

Other practice location 1

3472 Delford Dr
Frisco, TX 75033-1289
Phone (979) 492-8357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL, NJ, AZ4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20251114002198 TX Practitioner - Registered Dietitian Or Nutrition Professional 8123519451 Reassigns benefits to 1 organization
I20251114002355 IL Practitioner - Registered Dietitian Or Nutrition Professional 8123519451 Reassigns benefits to 1 organization
I20251116000151 NJ Practitioner - Registered Dietitian Or Nutrition Professional 8123519451 Reassigns benefits to 1 organization
I20251117003069 AZ Practitioner - Registered Dietitian Or Nutrition Professional 8123519451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surely Health IncGroup PAC ID 3072960491, 47 clinicians

Practice addresses (Care Compare)

130 E Congress St
Suite 200 139
Tucson, AZ 85701-1708
Phone (724) 307-5926

6565 N Macarthur Blvd
Suite 225
Irving, TX 75039-2482
Phone (888) 807-4117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
852197TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Surely Health, Inc. Dietitian, Registered CurrentSince Dec 1, 2025 Accepting new patients
Renew Nutrition Solutions Dietitian, Registered Current Accepting new patients
Season Clinical Care P.a. Dietitian, Registered CurrentSince Dec 1, 2025 Accepting new patients
Season Clinical Care NJ PC Dietitian, Registered CurrentSince Dec 1, 2025 Accepting new patients
H-E-B, LP PastSince Dec 1, 2025 Accepting new patients

Locations

130 E Congress St
Ste 200139
Tucson, AZ 85701
Phone (724) 307-5926

1719 Highway 10
Parsippany, NJ 07054

1719 Highway 10
Ste 300
Parsippany, NJ 07054

6565 N MacArthur Blvd
Ste 225
Irving, TX 75039
Phone (972) 635-0489

1710 Keller Pkwy
Keller, TX 76248
Phone (210) 201-2364

Organizations & group practices 5

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": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1801355193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 MAIN ST STE 235-530",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344411",
            "telephone_number": "979-574-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 MAIN ST STE 235-530",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344411",
            "telephone_number": "979-574-3390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3472 Delford Dr",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750331289",
            "country_code": "US",
            "telephone_number": "979-492-8357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTMAN",
        "first_name": "SHELLEY",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "852197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.