SHELLY EDENS (NPI# 1093139677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093139677 |
| Entity Type | Individual |
| Full Name | SHELLY EDENS |
| Credential | R.D., C.S.O., L.D.N. |
| Practice Address |
60 Memorial Medical Pkwy Food and Nutrition Department Palm Coast FL 32164-5980 |
| Mailing Address |
8539 Gate Pkwy W Unit 1435 Jacksonville FL 32216-1019 |
| Practice Telephone | 3865864320 |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | ND 5449 | FL | Dietary & Nutritional Service Providers |
| Street Address |
60 MEMORIAL MEDICAL PKWY FOOD AND NUTRITION DEPARTMENT |
| City | PALM COAST |
| State | FL |
| Zip Code | 32164-5980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518926021 | Divya Pingle | Internal Medicine | 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 | 2006-03-22 |
| 1497392260 | Joanna Lynn Nightingale | Nurse Practitioner | 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 | 2019-11-29 |
| 1942841804 | Tracie L. Jones | Nurse Practitioner | 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 | 2019-10-02 |
| 1912554080 | Brigette Lilliana Genovese | Physical Therapy Assistant | 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 | 2019-08-22 |
| 1104473586 | Lauren New | Physical Therapist | 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 | 2019-08-21 |
| 1740633635 | Sound Physicians of Florida Iv, LLC | Hospitalist | 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 | 2016-07-15 |
| 1760873400 | Hardik Patel | Internal Medicine | 60 Memorial Medical Pkwy, Palm Coast, FL 32164 | 2015-02-17 |
| 1144630500 | Sandra Flanagan Shugart | Pharmacist | 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 | 2014-05-06 |
| 1942624721 | Emergency Medicine Professionals Pa | Emergency Medicine | 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 | 2014-02-13 |
| 1205170982 | Nevine Hanna | Radiology | 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 | 2012-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417561044 | Ereka Manangan | Pharmacist | 5000 E, Fl-100, Palm Coast, FL 32164 | 2020-09-01 |
| 1427661735 | George Allen Parker | Pharmacist | 5000 E Hwy 100, Palm Coast, FL 32164 | 2020-08-26 |
| 1891318424 | Faithangel Corp | In Home Supportive Care | 125 Pine Grove Dr, Palm Coast, FL 32164 | 2020-05-18 |
| 1578101481 | Sweetie Peetie LLC | Hearing Instrument Specialist | 160 Cypress Point Parkway, Ste A108, Palm Coast, FL 32164 | 2019-12-11 |
| 1831656610 | Dolphin Medical Transport LLC | Taxi | 30 Westmoreland Dr, Palm Coast, FL 32164 | 2019-02-27 |
| 1003389024 | Southeast Snoring & Sleep Apnea Group | Durable Medical Equipment & Medical Supplies | 108 Pennacles Dr. #101, Palm Coast, FL 32164 | 2019-01-03 |
| 1801388137 | Lily Michelle King | Licensed Practical Nurse | 8 Regent Ln, Palm Coast, FL 32164 | 2018-06-01 |
| 1558880120 | Bryan Mendes | Physical Therapist | 1 Westrock Ln, Palm Coast, FL 32164 | 2017-09-14 |
| 1477077451 | Sharon Denise Astrologo | Case Manager/Care Coordinator | 421 S. Keech St., Daytona Beach, FL 32164 | 2017-08-01 |
| 1952825283 | Emily Guarino | Behavior Technician | 136a Wellwood Lane, Palm Coast, FL 32164 | 2017-07-28 |
| Find all providers in zip 32164 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568086999 | Mariya Yurkiv | Dietitian, Registered | 5 Woodside Dr, Palm Coast, FL 32164-7907 | 2020-06-01 |
| 1730702010 | Macie Lynn Thornhill | Dietitian, Registered | 4324 Old A1a, Palm Coast, FL 32137-3357 | 2020-05-21 |
| 1740836329 | Jilann B Doucette | Dietitian, Registered | 1 Farraday Ln Unit F, Palm Coast, FL 32137-3853 | 2019-08-10 |
| 1578033700 | Josephine Thomason | Dietitian, Registered | 11 Evansmill Ln, Palm Coast, FL 32164-6214 | 2018-11-30 |
| 1740599596 | Elizabeth Anne Lagasse | Dietitian, Registered | 60 Memorial Medical Pkwy, Florida Hospital Flagler, Palm Coast, FL 32164-5980 | 2010-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265268 | Rachel Moore Gibson | Dietitian, Registered | 5145 S Dale Mabry Hwy Unit 20412, Tampa, FL 33611-3677 | 2020-11-08 |
| 1275134520 | Dunia Santana-enamorado | Dietitian, Registered | 6141 Lanshire Dr, Tampa, FL 33634-3042 | 2020-11-03 |
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1114527256 | Jacquelyn Gabriela Baldeon Garo | Dietitian, Registered | 17701 Sw 112th Ave, Miami, FL 33157-5007 | 2020-10-28 |
| 1013516632 | Cecelia Lee Andreo | Dietitian, Registered | 3545 Victory Dr, Pace, FL 32571-8302 | 2020-10-24 |
| 1114526209 | Scientific Nutrition International LLC | Dietitian, Registered | 6295 Sunset Dr, South Miami, FL 33143-4804 | 2020-10-20 |
| 1023617446 | Madisyn Becker | Dietitian, Registered | 871 Ibis Walk Pl N Unit 7203, Saint Petersburg, FL 33716-3843 | 2020-10-19 |
| 1194323774 | Janice Cuevas Cintron | Dietitian, Registered | 5439 Limestone Ln, Lakeland, FL 33809-0830 | 2020-10-15 |
| 1194323345 | Danielle Sara Samelson | Dietitian, Registered | 4225 Cloverleaf Pl, Casselberry, FL 32707-4703 | 2020-10-10 |
| 1518564830 | Sneha Lalla | Dietitian, Registered | 14171 Metropolis Ave Ste 202, Fort Myers, FL 33912-4335 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | PALM COAST |
| Zip Code | 32164 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.