MRS. SHANNON GRUBE MS RDN CD NPI 1598838609

NPI Information

  • NPI: 1598838609
  • Provider Name: MRS. SHANNON GRUBE, MS, RDN, CD
  • Classification: Dietitian, Registered - 133V00000X
  • Entity Type: Individual
  • Address: 720 SE PIONEER WAY STE 1B
    OAK HARBOR, WA
    ZIP 98277
  • Phone: (360) 544-2466

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NPI Details

MRS. Shannon Grube, MS, RDN, CD is a dietitian registered in Oak Harbor, WA with 25 years of experience. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. MRS. Shannon Grube, MS, RDN, CD NPI is 1598838609. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

720 SE PIONEER WAY STE 1B
OAK HARBOR, WA
ZIP 98277-203
Phone: (360) 544-2466

The enumeration date for this NPI number is 11/16/2006 and was last updated on 4/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, RegisteredDI00001748WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12279837MEDICAIDWASHINGTON
21841098753OTHERNPPES
393-2187230OTHERDEPARTMENT OF TREASURY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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