Individual provider Active NPI

Shana Lee Goldman, R.D.

  • Registered Dietitian
  • Seattle, WA
National Provider Identifier
1932353604
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
602844175 Issued in WA
Practice address
2366 Eastlake Ave E
234
Seattle, WA 98102-3366
Phone
(206) 898-9369
Fax
(206) 428-7108
NPI assigned
Nov 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 602844175 WA Primary

Addresses

Primary practice location

2366 Eastlake Ave E
234
Seattle, WA 98102-3366

Mailing address

2366 Eastlake Ave E
234
Seattle, WA 98102-3366
Phone (206) 898-9369

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

State licenses

LicenseStateTypeSpecialty
602844175WAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228348800000",
    "number": "1932353604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2366 EASTLAKE AVE E",
            "address_2": "234",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023366",
            "telephone_number": "206-898-9369",
            "fax_number": "206-428-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2366 EASTLAKE AVE E",
            "address_2": "234",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023366",
            "telephone_number": "206-898-9369",
            "fax_number": "206-428-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "SHANA",
        "middle_name": "LEE",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-07",
        "last_updated": "2008-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "602844175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.