MR. JONATHAN S SHANE (NPI# 1710588686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710588686 |
| Entity Type | Individual |
| Full Name | MR. JONATHAN S SHANE |
| Credential | FNTP |
| Practice Address |
3038 Village Creek Dr Katy TX 77494-6950 |
| Practice Telephone | 8322856739 |
| Mailing Telephone | 8322856739 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
5275 | TX | Dietary & Nutritional Service Providers |
| Street Address |
3038 VILLAGE CREEK DR |
| City | KATY |
| State | TX |
| Zip Code | 77494-6950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880899 | Julie Dyan Meyers | Speech-Language Pathologist | 4747 Fm 1463 Suite 900, Katy, TX 77494 | 2020-08-03 |
| 1235763426 | Lucy J Pena | Technician | 28106 Sugarside Glen Dr, Katy, TX 77494 | 2020-02-26 |
| 1063042455 | Wonace LLC | Durable Medical Equipment & Medical Supplies | 2717 Commercial Blvd, E200, Katy, TX 77494 | 2020-01-24 |
| 1801431002 | Justin Lee Landers | Specialist/Technologist | 2818 Fair Chase, Katy, TX 77494 | 2019-11-12 |
| 1285276006 | Chrysalis Group LLC | Pharmacy | 1259 Fm 1463 Suite 700, Katy, TX 77494 | 2019-10-14 |
| 1033760400 | Aaron Moniotte | Pharmacist | 23331 Grand Reserve Dr, Katy, TX 77494 | 2019-09-26 |
| 1467001743 | Julie Hankinson | Technician | 4903 Surrey Park Circle, Katy, TX 77494 | 2019-09-09 |
| 1710532148 | Icome2u Nursing Providers Inc | Nurse Practitioner | 26307 Sundown Cove Lane, Katy, TX 77494 | 2019-08-02 |
| 1881252203 | Encompass Health Rehabilitation Hospital of Katy, LLC | Rehabilitation Hospital | 23331 Grand Reserve Drive, Katy, TX 77494 | 2019-05-31 |
| 1407312945 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 322 Cane Island Pkwy, Katy, TX 77494 | 2019-02-20 |
| Find all providers in zip 77494 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104360304 | Darshi Shah | Nutritionist | 4502 Wellbrook Ln, Katy, TX 77450-8257 | 2016-12-07 |
| 1821485731 | Ezenwanyi Ahaghotu | Nutritionist | 2717 Commercial Center Blvd, Suite E200, Katy, TX 77494-6410 | 2015-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776638 | Sara Ross | Nutritionist | 4601 Hain St, Houston, TX 77009-3323 | 2020-09-23 |
| 1427675818 | Complete Nutrition Solutions LLC | Nutritionist | 2806 Santa Olivia St, Mission, TX 78572-7615 | 2020-07-01 |
| 1093332801 | Hope Seed Support Center | Nutritionist | 10103 Earlington Manor Dr, Spring, TX 77379-7459 | 2020-06-26 |
| 1508406232 | Lindsey Menge | Nutritionist | 4130 Spicewood Springs Rd Ste 100, Austin, TX 78759-8657 | 2020-01-10 |
| 1255974523 | Maretta M Maple | Nutritionist | 14010 Valley Grove Dr, Houston, TX 77066-5523 | 2019-10-19 |
| 1053962761 | Gerryl Landry Krilic | Nutritionist | Friscofit City Ambassador Health Coaching & Wellness, 5410 Beacon Hill Drive, Frisco, TX 75036 | 2019-09-24 |
| 1497250559 | Ingram's Nutrition Consultations | Nutritionist | 4913 Hidden Acres, Texarkana, TX 75503-2991 | 2018-03-29 |
| 1568979029 | Sapha Arias | Nutritionist | 12950 Wincrest Ct, Cypress, TX 77429-2084 | 2018-01-05 |
| 1265944698 | Milan Patel | Nutritionist | 10650 Culebra Rd Ste 104-261, San Antonio, TX 78251-4949 | 2017-10-25 |
| 1942720354 | Heidi Leann Hoke | Nutritionist | 123 N. Line St., Mineola, TX 75773 | 2017-06-27 |
| Find all providers with the same taxonomy | ||||
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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.