Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JONATHAN S SHANE, FNTP
ActiveNutrition, Education · KATY, TX
Registration Details
- NPI Number
- 1710588686
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 5, 2020 (5.4988417087449 yrs)
- Last Updated
- Nov 5, 2020
- License
-
5275 (TX)
Practice Information
- Address
-
3038 VILLAGE CREEK DRKATY, TX, 774946950Browse TX providers · Browse ZIP 77494
- Phone
- 8322856739
- Primary Specialty
-
Nutrition, Education
133NN1002X
Other Nutrition, Education Providers in KATY, TX
| Name | Credential | NPI |
|---|---|---|
| JESUS ALBERTO CASTILLO POLANCO | FNC | 1780288142 |
| TIMAYN ROBERTS | — | 1093515397 |
| ALLISON COOK | FDN-P | 1588556252 |
| AYA DIRAWI | — | 1780550962 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.