SHIRLEY MATENDA (RD) – Registered Dietitian, NPI 1467987537
Registered Dietitian
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SHIRLEY MATENDA (RD)
2202, South Cedar Street, Tacoma, Pierce County, Washington, 98405, United States
300
TACOMA, WA 984052318
Phone: (253) 301-5280
Type: Location
505 Broadway E # 228
Seattle, WA 981025023
Phone: (206) 395-4819
Type: Location
PO BOX 5127
EVERETT, WA 982065127
Phone: (425) 595-3822
Fax: (425) 257-1423
Type: Mailing
3901 HOYT AVE
EVERETT, WA 982014918
Phone: (425) 595-3822
Fax: (425) 257-1423
Type: Location
505 BROADWAY E , SEATTLE, WA
PMB #228
SEATTLE, WA 98102
Phone: (206) 395-4819
Type: Mailing
MultiCare Tacoma General Hospital, 315, Martin Luther King Jr Way, Tacoma, Pierce County, Washington, 98403, United States
TACOMA, WA 984054234
Phone: (253) 403-1085
Fax: (253) 697-5130
Type: Mailing
16045 1ST AVE S FL 2
BURIEN, WA 981481401
Phone: (206) 965-4100
Fax: (206) 965-4278
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-06-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170628003033 | I | Registered Dietitian Or Nutrition Professional | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97803 | Therapy procedure reassessment for nutrition management, each 15 minutes | 105 | 22 | $0 |
| 97802 | Therapy procedure for nutrition management, each 15 minutes | 93 | 22 | $0 |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 54 | 19 | $0 |
Insurance plans in this area (ZIP 98405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| - | IL | |
| O P H T H A L M O L O G Y | OR | |
| O P H T H A L M O L O G Y | WA | |
| Nurse Practitioner | WA | |
| Family Practice | WA | |
| Interventional Radiology, Diagnostic Radiology | OH | |
| Physician Assistant | ID | |
| Clinical Psychologist | WA |
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