SHELBY JAY SACKETT (NPI# 1790102358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790102358 |
| Entity Type | Individual |
| Full Name | SHELBY JAY SACKETT |
| Credential | RD, LD |
| Practice Address |
1045 Westgate Dr Suite 100 Saint Paul MN 55114-1000 |
| Practice Telephone | 6516052324 |
| Mailing Telephone | 6516052324 |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1120 | MN | Dietary & Nutritional Service Providers |
| Street Address |
1045 WESTGATE DR SUITE 100 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55114-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376560706 | Peter Dana Aggen | Physical Therapist | 1045 Westgate Dr, Suite 100, Saint Paul, MN 55114-1000 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790205698 | Der Yang | Registered Nurse | 2356 University Ave W #220, Saint Paul, MN 55114 | 2017-06-21 |
| 1679949358 | Mallory Haglund | Counselor | 284 West Rocky Lane, Boulder, NV 55114 | 2015-08-17 |
| 1083090880 | Kayla Estenson | Marriage & Family Therapist | 2324 University Ave West, 120, St. Paul, MN 55114 | 2015-08-04 |
| 1184023772 | Preetanjali Thakur | Dentist | 2550 University Avenue West Suite 189s, St Paul, MN 55114 | 2014-08-19 |
| 1023426210 | Melanie Bayer Witthoft | Social Worker | 762 Transfer Road, 21, St. Paul, MN 55114 | 2014-07-31 |
| 1184046518 | Britni Kelley | Marriage & Family Therapist | 821 Raymond Ave Ste 325, Saint Paul, MN 55114 | 2014-01-21 |
| 1205257581 | Arti Kaul | Dentist | 808 Berry St, Apy 126, St Paul, MN 55114 | 2014-01-03 |
| 1588907109 | Jesus M Calvillo | Counselor | 821 Raymond Ave Ste 230, Saint Paul, MN 55114 | 2013-04-02 |
| 1154669414 | Caringhands Home Health Care Inc. | Home Health | 2233 University Ave West, Suite 330, St Paul, MN 55114 | 2013-01-22 |
| 1396021424 | The Avalon Charter School | Local Education Agency (LEA) | 700 Glendale Street, Saint Paul, MN 55114 | 2011-11-03 |
| Find all providers in zip 55114 | ||||
| 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 |
|---|---|---|---|---|
| 1811515083 | Emily Bengson | Dietitian, Registered | 2565 Franklin Ave Apt 311, Saint Paul, MN 55114-3003 | 2020-07-13 |
| 1811524226 | Amanda Holmes | Dietitian, Registered | 2550 University Ave W Ste 216s, Saint Paul, MN 55114-1916 | 2020-03-25 |
| 1033746615 | Lindsey Smith | Dietitian, Registered | 347 Smith Ave N Ste 404, Saint Paul, MN 55102-3354 | 2020-03-24 |
| 1689143307 | Hanna Elisabet Grinaker | Dietitian, Registered | 2565 Franklin Ave Apt 405, Saint Paul, MN 55114-3004 | 2018-11-26 |
| 1144768649 | Lisa Hursin | Dietitian, Registered | 17 Exchange St W Ste 200, Saint Paul, MN 55102-1222 | 2017-02-03 |
| 1528318854 | Ashley Oswald | Dietitian, Registered | 881 Saint Clair Ave Apt 1, Saint Paul, MN 55105-3285 | 2012-09-13 |
| 1457677387 | Debra B Sheats | Dietitian, Registered | 1356 Sargent Ave, Saint Paul, MN 55105-2327 | 2010-04-16 |
| 1619202660 | Dianne Kay Piepenburg | Dietitian, Registered | 2550 University Ave W Ste 110n, Saint Paul, MN 55114-2001 | 2009-10-08 |
| 1740403393 | Adult Medicine Pa | Dietitian, Registered | 393 Dunlap St N Ste 235, Saint Paul, MN 55104-4208 | 2007-04-11 |
| 1306069489 | Fueling Performance, LLC | Dietitian, Registered | 225 Smith Ave N Ste 301, Saint Paul, MN 55102-2534 | 2007-04-10 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55114 |
Please comment or provide details below to improve the information on SHELBY JAY SACKETT.
| 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.