MRS. SHANNON MICHELLE GALYEAN (NPI# 1275627473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275627473 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON MICHELLE GALYEAN |
| Credential | PHD, RD, LD |
| Practice Address |
3805 22nd Place Lubbock TX 79414 |
| Mailing Address |
3113 95th St Lubbock TX 79423-4009 |
| Practice Telephone | 8065352492 |
| Mailing Telephone | 8065352492 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DT06360 | TX | Dietary & Nutritional Service Providers |
| Street Address |
3805 22ND PLACE |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487730511 | David Syn | Specialist | 3805 22nd Place, Lubbock, TX 79410-1117 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275182032 | Ensight Vision LLC | Optometrist | 6002 Slide Road, Lubbock, TX 79414 | 2019-09-05 |
| 1932697604 | Lone Star Mobile Med | Family Medicine | 5504 Wayne Ave Ste 105, Lubbock, TX 79414 | 2018-04-27 |
| 1679986806 | Nicole Evans-taylor | Pharmacist | 4847 Slide Road, Lubbock, TX 79414 | 2014-06-05 |
| 1679911697 | Jamel Deshane Vaughn | Optometrist | 6002 Slide Rd Ste P-8, Lubbock, TX 79414 | 2013-06-12 |
| 1659663284 | Vision One Associates | Optometrist | 6221 Slide Road, Lubbock, TX 79414 | 2011-05-16 |
| 1154445963 | C M Davis Od Pllc | Optometrist | 6002 Slide Road Suite P-8, Lubbock, TX 79414 | 2007-03-19 |
| 1922154632 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 5602 Slide Road, Lubbock, TX 79414 | 2007-01-26 |
| 1043393846 | Emily Rose Bohn | Physical Therapist | 3501 S. Loop 289, Lubbock, TX 79414 | 2006-10-23 |
| 1720176928 | Vann Alexander Home Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 5313 50th Street, Suite D-5, Lubbock, TX 79414 | 2006-10-11 |
| 1952499279 | Bradley Derl Brooks | Dentist | 5301 50th Street #200, Lubbock, TX 79414 | 2006-10-11 |
| Find all providers in zip 79414 | ||||
| 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 |
|---|---|---|---|---|
| 1265078372 | Kaitlin Pharis Smith | Dietitian, Registered | 3004 50th St Ste A, Lubbock, TX 79413-4129 | 2019-11-24 |
| 1467095513 | Sophia Maria Martinez | Dietitian, Registered | 6104 Avenue Q, Lubbock, TX 79412-3506 | 2019-10-22 |
| 1205331998 | Lauren Blechle | Dietitian, Registered | 3615 19th St Bldg 17, Lubbock, TX 79410-1203 | 2018-03-26 |
| 1003357518 | Emmy Lu Henley | Dietitian, Registered | 6520 University Ave, Suite 5, Lubbock, TX 79413 | 2017-03-16 |
| 1730635129 | Katy Rebecca-franklin Poff | Dietitian, Registered | 7008 Indiana Avenue, Suite A, Lubbock, TX 79413 | 2016-08-26 |
| 1639531254 | Lori Ann Boyd | Dietitian, Registered | 2412 50 Th Street, Lubbock, TX 79412 | 2016-03-23 |
| 1972918126 | Premier Nutrition Consulting, LLC | Dietitian, Registered | 2907 Bates St, Lubbock, TX 79415-2646 | 2014-06-26 |
| 1790199248 | Tiffany Ann Quevedo | Dietitian, Registered | 3008 55th St, Lubbock, TX 79413-4802 | 2014-06-12 |
| 1326486549 | Amy Ashmore | Dietitian, Registered | 602 Indiana Ave # 5980, Lubbock, TX 79415-3364 | 2013-06-10 |
| 1952672578 | Brooksgate Inc. | Dietitian, Registered | 6829 6th St, Lubbock, TX 79416-3769 | 2012-01-13 |
| Find all providers in LUBBOCK | ||||
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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.