JERI KENDAL SHANKS (NPI# 1952823171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952823171 |
| Entity Type | Individual |
| Full Name | JERI KENDAL SHANKS |
| Credential | RDN |
| Practice Address |
1237 S Val Vista Dr Mesa AZ 85204 |
| Mailing Address |
Po Box 1564 Mesa AZ 85211-1564 |
| Practice Telephone | 4802946543 |
| Practice Fax Number | 4802946544 |
| Mailing Telephone | 4802946543 |
| Mailing Fax Number | 4802946544 |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2018-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | AZ | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | COMMISSION ON DIETETIC REGISTRATION | 86053981 | 01 |
| Street Address |
1237 S VAL VISTA DR |
| City | MESA |
| State | AZ |
| Zip Code | 85204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841245172 | Michelle A Berman | Dietitian, Registered | 1237 S Val Vista Dr, Mesa, AZ 85204-6401 | 2006-05-24 |
| 1902440852 | Neha Bomb | Dietitian, Registered | 1237 S Val Vista Dr, Mesa, AZ 85204-6401 | 2019-11-04 |
| 1558902973 | Maya Schmitt | Dietitian, Registered | 1237 S Val Vista Dr, Mesa, AZ 85204-6401 | 2019-10-07 |
| 1538710355 | Dana Michelle Stapleton | Dietitian, Registered | 1237 S Val Vista Dr, Mesa, AZ 85204-6401 | 2019-09-23 |
| 1003460916 | Erika Josephine Barrera | Dietitian, Registered | 1237 S Val Vista Dr, Mesa, AZ 85204-6401 | 2019-07-29 |
| 1154988400 | Stephanie Jane Espinoza | Dietitian, Registered | 1237 S Val Vista Dr, Mesa, AZ 85204-6401 | 2019-05-22 |
| 1285192609 | Samantha Dietz Jerome | Dietitian, Registered | 1237 S Val Vista Dr, Mesa, AZ 85204-6401 | 2019-03-05 |
| 1487170270 | Taylor Janulewicz | Dietitian, Registered | 1237 S Val Vista Dr, Mesa, AZ 85204 | 2017-08-14 |
| 1841727880 | Lauren Artise | Dietitian, Registered | 1237 S Val Vista Dr, Mesa, AZ 85204 | 2017-05-22 |
| 1952850422 | Kalyn Williams | Dietitian, Registered | 1237 S Val Vista Dr, Mesa, AZ 85204 | 2016-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| 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 |
|---|---|---|---|---|
| 1619595170 | Landon Hobbs | Dietitian, Registered | 4847 E Harmony Ave, Mesa, AZ 85206-3406 | 2020-07-10 |
| 1891312617 | Cassie M. Mitchell | Dietitian, Registered | 7253 E Catalina Ave, Mesa, AZ 85208-2070 | 2020-06-27 |
| 1932746575 | Patricia Ann Narducci | Dietitian, Registered | 8813 E Norwood Cir, Mesa, AZ 85207-1443 | 2019-12-02 |
| 1790281129 | Wendy Marie Green | Dietitian, Registered | 6124 E Brown Rd Ste 102, Mesa, AZ 85205-4959 | 2018-04-04 |
| 1912407446 | Tonya Lorraine Keyes-christianson | Dietitian, Registered | 1938 N 67th St, Mesa, AZ 85205-3776 | 2018-02-21 |
| 1447794235 | Crandall & Associates Consulting | Dietitian, Registered | 1930 N Arboleda, Suite 101, Mesa, AZ 85213-3212 | 2016-12-13 |
| 1215481650 | Audrey Lally | Dietitian, Registered | 2309 E Lynwood St, Mesa, AZ 85213-2229 | 2016-08-14 |
| 1932574472 | Darcy Leon | Dietitian, Registered | 11038 E Sutter Ave, Mesa, AZ 85212-2603 | 2015-12-09 |
| 1932530771 | Nutrifyi, LLC | Dietitian, Registered | 544 N Alma School Rd, #5, Mesa, AZ 85201-5473 | 2013-12-04 |
| 1093146128 | Antoinetta V Anselmo | Dietitian, Registered | 544 N Alma School Rd Unit 5, Mesa, AZ 85201-5474 | 2013-11-27 |
| Find all providers in MESA | ||||
Please comment or provide details below to improve the information on JERI KENDAL SHANKS.
| 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.