NPI 1962969931 · live from the CMS NPI Registry
Shayna J Bagshaw, RD
Dietitian, Registered in Charlestown, MA. National Provider Identifier 1962969931, active.
NPI record
| NPI | 1962969931 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 191 Main St Apt 1, Charlestown, MA 02129 |
| Practice phone | 520-870-7880 |
| Enumerated | February 26, 2019 |
| Last updated | May 15, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | 86063915 (CA) |
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.