IndividualActive
Cicely Shankle
NPI 1396302519 · Nutritionist · Fairbanks, AK
Cicely Shankle is a Nutritionist provider in Fairbanks, AK (NPI 1396302519).
Provider details
- NPI number
- 1396302519
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 146810 (AK)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
600 University Ave Ste 2a
Fairbanks, AK 99709-3651
Phone: (907) 206-3000
Fax: (907) 331-0480
Street-level locationGet directions
Mailing address
600 University Ave Ste 2a
Fairbanks, AK 99709-3651
Additional practice locations (1)
- 3039 Davis RdFairbanks, AK 99709-5234Phone: (907) 452-3600
Registry dates
- Enumerated
- 2019-05-22
- Last updated
- 2021-07-26
- Certified
- 2021-07-26
Frequently asked questions
- What is Cicely Shankle's NPI number?
- Cicely Shankle's National Provider Identifier (NPI) is 1396302519, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Cicely Shankle's specialty?
- Cicely Shankle is listed in the NPPES registry with a primary specialty of Nutritionist (Dietary & Nutritional Service Providers).
- Where is Cicely Shankle located?
- Cicely Shankle's practice location on file with NPPES is 600 University Ave Ste 2a, Fairbanks, AK 99709-3651.
- What is Cicely Shankle's phone number?
- The practice phone number listed in the NPPES registry for Cicely Shankle is (907) 206-3000.
- Is Cicely Shankle's NPI active?
- Yes — Cicely Shankle's NPI (1396302519) is active in the NPPES registry as of the last update on 2021-07-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.