Shayna J Bagshaw, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

191 Main St Apt 1
Charlestown, MA 02129-3201

Phone

(520) 870-7880

NPI assigned

Feb 26, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1962969931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 MAIN ST APT 1",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021293201",
            "telephone_number": "520-870-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 MAIN ST APT 1",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021293201",
            "telephone_number": "520-870-7880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10260 SW Greenburg Rd # 4",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972235500",
            "country_code": "US",
            "telephone_number": "520-870-7880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Cambridge St # 14",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142509",
            "country_code": "US",
            "telephone_number": "520-870-7880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1390 Market St Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941025404",
            "country_code": "US",
            "telephone_number": "520-870-7880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 Louisiana St Ste 900",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770021062",
            "country_code": "US",
            "telephone_number": "520-870-7880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "578 Main St Unit Bb",
            "address_purpose": "LOCATION",
            "city": "Malden",
            "state": "MA",
            "postal_code": "021484094",
            "country_code": "US",
            "telephone_number": "520-870-7880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3724 Jefferson St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787316204",
            "country_code": "US",
            "telephone_number": "520-870-7880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGSHAW",
        "first_name": "SHAYNA",
        "middle_name": "J",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86063915",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "86063915",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Auerbach, LICSW
• Hakan Ay, MD
• Kelly Bachelder
• Back Bay Speech Therapy Inc
• Micaela Badot-Fisher
• Emile Baker
• Andrea Lee Banks
• Daniel Salvatore Barron, M.D., PH.D.
• Maria Isabel Bascaran-Ramirez
• Katherine A Batterton, MS CCC-SLP

• Registered Dietitian in Charlestown, MA
• Providers in Charlestown, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.