Active NPIIndividual providerSole proprietor

Shayna J Bagshaw, RD

Dietitian, Registered in Charlestown, Massachusetts

NPI Number1962969931
Practice location
191 Main St Apt 1, Charlestown, MA 02129-3201
Fax
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Last updated
May 15, 2025

Shayna J Bagshaw is a Dietitian, Registered based in Charlestown, MA. Shayna J Bagshaw practices in Charlestown, MA and has the professional credentials of RD. The NPI Number for Shayna J Bagshaw is 1962969931 and holds a License No. 86063915 (CA). The current practice location address for Shayna J Bagshaw is 191 Main St Apt 1, Charlestown, MA 02129-3201 and can be reached out via phone at 520-870-7880.

Provider Profile Details

NPI Number
1962969931
Provider Name
Shayna J Bagshaw
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
191 Main St Apt 1, Charlestown, MA 02129-3201
Phone Number
520-870-7880
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 26, 2019
Last Update Date
May 15, 2025
Certification Date
May 15, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
191 Main St Apt 1
Charlestown, MA 02129-3201
Zip
02129-3201
Phone Number
520-870-7880
Charlestown, MA 02129Get directions →

Provider Business Mailing Address Details

Address
191 Main St Apt 1
Charlestown, MA 02129-3201
City
Charlestown
State
MA
Zip
02129-3201
Phone Number
520-870-7880

License Information

License Number (1)
86063915
License State (1)
CA
Taxonomy (1)
Dietitian, Registered · 133V00000X
Taxonomy (2)
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shayna J Bagshaw, RD?

The NPI number of Shayna J Bagshaw, RD is 1962969931. It was assigned on February 26, 2019 and is currently active in the NPPES registry.

What is the specialty of Shayna J Bagshaw, RD?

Shayna J Bagshaw, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CA under license number 86063915.

Where does Shayna J Bagshaw, RD practice?

The practice location is 191 Main St Apt 1, Charlestown, MA 02129-3201. The office can be reached at 520-870-7880 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962969931 directly on the NPPES registry website.

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