Individual provider · Type 1 NPI

Shane Mikesky, RD

Registered Dietitian · Kirtland Afb, NM

NPI number 1225769730 Active

Practice location

2050A 2nd St SE
Kirtland Afb, NM 87117-7220

Call (505) 846-3200 Map

Mailing address

3832 La Charles Dr NE
Albuquerque, NM 87111-4116

Other practice locations

  • 3832 La Charles Dr NE, Albuquerque, NM 87111-4116 · (317) 650-7234

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X86174678

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1225769730

Shane Mikesky, RD's National Provider Identifier is 1225769730, issued on Jun 23, 2022. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Kirtland Afb, NM. The record was last updated on Feb 6, 2026.