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CICELY SHANKLE
NPI 1396302519
Nutritionist in Fairbanks, AK

Active since May 22, 2019
600 UNIVERSITY AVE STE 2A, FAIRBANKS, AK 99709(907) 206-3000(907) 331-0480 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2021, Mar 12, 2020, May 22, 2019 (3 updates tracked since 2019).

About Cicely Shankle NPPES

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

CICELY SHANKLE (NPI 1396302519) is an individual nutritionist in Fairbanks, Alaska, licensed in Alaska (146810) and active in the NPI registry since May 2019. She maintains a secondary practice location in Fairbanks.

NPPES Registry Identity

NPI1396302519
Entity TypeIndividualFemale
Primary Taxonomy133N00000X
Provider Legal NameCICELY SHANKLE
Location Address600 UNIVERSITY AVE STE 2AFairbanks, AK 99709-3651
Mailing Address600 University Ave Ste 2aFairbanks, AK 99709-3651 · (907) 206-3000 · Fax (907) 331-0480
Phone(907) 206-3000
Fax(907) 331-0480
Sole ProprietorYes
Enumeration DateMay 22, 2019
Last NPPES UpdateJuly 26, 20213 updates tracked since enumeration
NPPES CertifiedJuly 26, 2021
✔ NPI 1396302519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers
Taxonomy Code133N00000X
License✔ Licensed in AK · 146810
Definition
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.
600 UNIVERSITY AVE STE 2A, Fairbanks, AK 99709
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Secondary Practice Location 1

Location 13039 Davis RdFairbanks, AK 99709-5234 · Phone (907) 452-3600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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 Cicely Shankle's NPI number?

The NPI number for Cicely Shankle is 1396302519. It was assigned to this individual provider in the NPPES registry on May 22, 2019.

Where is Cicely Shankle located?

Cicely Shankle practices at 600 University Ave Ste 2A, Fairbanks, AK 99709. The listed phone number is (907) 206-3000.

What is Cicely Shankle's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

What insurance does Cicely Shankle accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Cicely Shankle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cicely Shankle was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.