Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Shannon Doran Fenster , CN

Nutritionist β€’ Bothell, WA

Active NPI 1992900518 Individual Practitioner Female Practitioner
Practice location in NPPES

11801 Ne 158th St
Bothell, WA 980114138

Call 2064913008 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

11801 Ne 158th St

Bothell, WA 980114138

Telephone 2064913008

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bothell and Washington

2 active clinicians are listed under Nutritionist with a practice address in Bothell, WA (200 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-01-26
Nutritionist Primary Specialty

NUCC Taxonomy Code: 133N00000X

License # reported to NPPES WA NU00001751

A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

Nutritionist - Nutrition, Education

NUCC Taxonomy Code: 133NN1002X

License # reported to NPPES WA NU00001751
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location January 26, 2022

Registered at 11801 NE 158TH ST, BOTHELL, WA 980114138 (Tel: 2064913008)

πŸ‘€
Provider Name / Credentials Updated January 26, 2022

Recorded as SHANNON FENSTER, CN

πŸ“
Updated Practice Location January 08, 2019

Registered at 15436 BEL RED RD, REDMOND, WA 980525536 (Tel: 4252743430)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2019

Nutritionist (license number reported to NPPES: WA NU00001751)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 12737 BEL RED RD, SUITE 200, BELLEVUE, WA 980052699 (Tel: 2064913008)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 11801 NE 158TH ST, BOTHELL, WA 980114138 (Tel: 2064913008)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as SHANNON FENSTER, M.S., C.N.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nutritionist (license number reported to NPPES: WA NU00001751)

🟒
Initial NPI Registration & Enumeration June 15, 2007

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1992900518
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2007
Last Update: January 26, 2022
Sole Proprietor: Yes

Mailing Address

11801 Ne 158th St

Bothell, WA 980114138

Phone: 2064913008

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.