DANAE L SHELLEY (NPI# 1982039475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982039475 |
| Entity Type | Individual |
| Full Name | DANAE L SHELLEY |
| Other Name | MISS DANAE L ZARBUCK |
| Credential | RD, CDE |
| Practice Address |
3801 150th Ave Se Bellevue WA 98006-1668 |
| Mailing Address |
8915 14th Ave S Seattle WA 98108-4813 |
| Practice Telephone | 4254607140 |
| Practice Fax Number | 4254607161 |
| Mailing Telephone | 2067644700 |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2020-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DI60563553 | WA | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | 164.005980 | IL | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LICENSE # | 164.005980 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2003 W Fulton St, Ste 105, Chicago, IL 606122345 | 3128503437 | 7734518055 |
| Street Address |
3801 150TH AVE SE |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98006-1668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042616 | Lia Rose Tamminen | Social Worker | 3801 150th Ave Se, Bellevue, WA 98006-1668 | 2020-10-27 |
| 1962047811 | Ann M Griffin | Nurse Practitioner | 3801 150th Ave Se, Bellevue, WA 98006-1668 | 2019-11-14 |
| 1306488226 | Sea - Mar Community Health Center | Clinic/Center | 3801 150th Ave Se, Bellevue, WA 98006-1668 | 2019-10-11 |
| 1154988681 | Sea-mar Community Health Center | Dietitian, Registered | 3801 150th Ave Se, Bellevue, WA 98006-1668 | 2019-05-21 |
| 1699238543 | Elizabeth A Oaksmith | Counselor | 3801 150th Ave Se, Bellevue, WA 98006-1668 | 2019-04-08 |
| 1588177992 | Sea-mar Community Health Center | Clinic/Center | 3801 150th Ave Se, Bellevue, WA 98006-1668 | 2017-11-07 |
| 1740634245 | Serena Shung | Family Medicine | 3801 150th Ave Se, Bellevue, WA 98006-1668 | 2016-04-20 |
| 1417312828 | Sea-mar Community Health Center | Pharmacy | 3801 150th Ave Se, Bellevue, WA 98006-1668 | 2015-12-30 |
| 1508239633 | Somaia Hedayat | Dental Hygienist | 3801 150th Ave Se, Bellevue, WA 98006-1668 | 2015-11-11 |
| 1154792562 | Sea-mar Community Health Center | Dentist | 3801 150th Ave Se, Bellevue, WA 98006-1668 | 2015-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033602628 | Junmei Jin | Acupuncturist | 4317 Factoria Blvd Se Ste C, Bellevue, WA 98006 | 2018-06-08 |
| 1144733106 | Justin J Ho | Physical Therapist | 12917 Se 38th St Ste 208, Bellevue, WA 98006 | 2017-11-13 |
| 1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
| 1437556347 | Hilla Asadi | Naturopath | 12600 Se 38th St. #130, Bellevue, WA 98006 | 2014-11-21 |
| 1023433141 | Lori Anne Price | Speech-Language Pathologist | 12 Lummi Key, Bellevue, WA 98006 | 2014-02-26 |
| 1841628344 | Cohen, Manavi & Pakrvan Inc | Dentist | 3630a Factoria Blvd Se, Bellevue, WA 98006 | 2013-10-17 |
| 1740617836 | Kathleen L Carter | Massage Therapist | 5446 119th Ave Se #d, Bellevue, WA 98006 | 2013-10-03 |
| 1790037547 | Mellissa Ann Ilgen | Dentist | 4100 Factoria Blvd. Se, Suite C, Bellevue, WA 98006 | 2012-10-03 |
| 1982994364 | Hero House | Community/Behavioral Health | 12838 Se 40th Pl, Bellevue, WA 98006 | 2011-04-19 |
| 1356657738 | Lilia Schastlivaya | Massage Therapist | 13210 Se Newport Way, K201, Bellevue, WA 98006 | 2010-08-24 |
| Find all providers in zip 98006 | ||||
| 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 |
|---|---|---|---|---|
| 1275134256 | Hannah Baillie | Dietitian, Registered | 11651 Se 58th St, Bellevue, WA 98006-3722 | 2020-11-05 |
| 1780201541 | Tess Han | Dietitian, Registered | 17113 Se 47th Pl, Bellevue, WA 98006-5807 | 2020-06-28 |
| 1124641527 | Maureen Caroline Lilly | Dietitian, Registered | 13244 Ne 40th St, Bellevue, WA 98005-1468 | 2020-05-20 |
| 1295368231 | Elena C Razmpoosh | Dietitian, Registered | 3005 124th Ave Ne, Bellevue, WA 98005-1621 | 2020-02-18 |
| 1982255048 | Stephanie Cheyenne Crowe | Dietitian, Registered | 11000 Ne 33rd Pl Ste 340, Bellevue, WA 98004-1441 | 2019-09-20 |
| 1386138907 | Amanda Frances Ellis | Dietitian, Registered | 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 | 2018-06-18 |
| 1417475054 | Terasak Roeksbutr | Dietitian, Registered | 109 146th Ave Se, Bellevue, WA 98007 | 2017-09-04 |
| 1891210654 | Sara Virginia Newman | Dietitian, Registered | 14715 Ne Bel Red Rd Ste 102, Bellevue, WA 98007-3940 | 2017-08-13 |
| 1639694813 | Perri Lynn Bernard | Dietitian, Registered | 4679 173rd Ave Se, Bellevue, WA 98006-6538 | 2017-08-08 |
| 1083082903 | Abbie Hall | Dietitian, Registered | 1231 116th Ave Ne Ste 515, Bellevue, WA 98004-3804 | 2015-09-09 |
| Find all providers in BELLEVUE | ||||
Please comment or provide details below to improve the information on DANAE L SHELLEY.
| 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.