Island Nutrition, PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

ISLAND NUTRITION, PLLC

Doing business as

Island Nutrition & Wellness

Practice address

720 SE Pioneer Way
Oak Harbor, WA 98277-5752

Phone

(360) 544-2466

Fax

(360) 873-0017

NPI assigned

Mar 5, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Shannon Grube, MS, RDN, CDNPI 1598838609

Title

Owner

Phone

(360) 544-2466

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Island Nutrition & Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Grube, MS, RDN, CD

  • Registered Dietitian
  • Oak Harbor, WA
  • NPI 1598838609
  NPD Authorized official

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1841098753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 SW JUDSON DR",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775802",
            "telephone_number": "360-544-2466",
            "fax_number": "360-873-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SE PIONEER WAY",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775752",
            "telephone_number": "360-544-2466",
            "fax_number": "360-873-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND NUTRITION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "GRUBE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-544-2466",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, RDN, CD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2279837",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Nutrition & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Island Center for Complementary Medicine Inc P S
• Island Chiropractic PS Inc
• Island County Recovery Services
• Island Eye Care
• Island Family Hearing Clinic LLC
• Island of Hope Counseling PLLC
• Island Prosthodontics
• Island Speech Language & Rehabilitation, Inc.
• Mary Katherine Jackson, RN
• Sara Elizabeth Jackson

• Medical Specialty Clinic/Center in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• Medical Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.