SHINE FUNCTIONAL MEDICINE LLC
NPI 1376087940
Clinic/Center - Medical Specialty in Seattle, WA

Q: What is Shine Functional Medicine LLC's NPI number?

The NPI number for Shine Functional Medicine LLC is 1376087940. It was assigned to this organization in the NPPES registry on December 15, 2016.

Q: What is Shine Functional Medicine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since December 15, 2016

1633 BELLEVUE AVE STE A, SEATTLE, WA 98122(206) 734-8370(206) 237-0773 Get Directions Write a Review

NPPES record last updated: December 15, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shine Functional Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHINE FUNCTIONAL MEDICINE LLC (NPI 1376087940) is a healthcare organization registered as a medical specialty in Seattle, Washington and active in the NPI registry since December 2016. The organization lists Megan Alicia Debell, Owner, as its authorized official.

NPPES Registry Identity

NPI1376087940

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameSHINE FUNCTIONAL MEDICINE LLC

Location Address1633 BELLEVUE AVE STE ASeattle, WA 98122-6820

Mailing Address1700 7th Ave Ste 116, Pmb #300Seattle, WA 98101-1323

Phone(206) 734-8370

Fax(206) 237-0773

Organization SubpartNo

Authorized OfficialMegan Alicia DebellOwner · (206) 734-8370

Enumeration DateDecember 15, 2016

✔ NPI 1376087940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

1633 BELLEVUE AVE STE A, Seattle, WA 98122

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KIRSTEN ALYSE RAMSDELL CN

Nutritionist

1633 BELLEVUE AVE STE A
SEATTLE, WA 98122

King County (206) 734-8370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shine Functional Medicine LLC's NPI number?

The NPI number for Shine Functional Medicine LLC is 1376087940. It was assigned to this organization in the NPPES registry on December 15, 2016.

Where is Shine Functional Medicine LLC located?

Shine Functional Medicine LLC is located at 1633 Bellevue Ave Ste A, Seattle, WA 98122. The listed phone number is (206) 734-8370.

What is Shine Functional Medicine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Shine Functional Medicine LLC was last updated on December 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.