Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cicely Shankle

Individual provider Nutritionist · NPI 1396302519

Cicely Shankle is a Nutritionist in Fairbanks, Alaska. Practices as a sole proprietor and works from 2 locations. Licensed in Alaska.

Licensed in
AK
In the registry since
2019

Practice location Address checks out

600 University Ave Ste 2A
Fairbanks, AK 99709-3651
Phone: (907) 206-3000
Fax: (907) 331-0480
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3039 Davis Rd, Fairbanks, AK 99709-5234 — (907) 452-3600

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X · Licence 146810 (AK)

Record details

NPI number1396302519
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 22, 2019
Last updated in NPPESJuly 26, 2021
Certification dateJuly 26, 2021
Mailing address600 University Ave Ste 2a, Fairbanks, AK 99709-3651

Other providers in Fairbanks