Provider Demographics
NPI:1629953138
Name:SALINAS, SHANIA LYNN
Entity type:Individual
Prefix:
First Name:SHANIA
Middle Name:LYNN
Last Name:SALINAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 S ILLINOIS ST
Mailing Address - Street 2:
Mailing Address - City:MERCEDES
Mailing Address - State:TX
Mailing Address - Zip Code:78570-3817
Mailing Address - Country:US
Mailing Address - Phone:956-335-7557
Mailing Address - Fax:
Practice Address - Street 1:1025 S ILLINOIS ST
Practice Address - Street 2:
Practice Address - City:MERCEDES
Practice Address - State:TX
Practice Address - Zip Code:78570-3817
Practice Address - Country:US
Practice Address - Phone:956-335-7557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered