Shannon Rae Mallory Hertzog, BS, MS
- Hospital affiliations
- 1
- Medical groups
- 2
- State license
- 1
- Year NPI issued
- 2021
- Practice address
- 8720 14th S Ave, Seattle, WA 98108
- Practice phone
- Call (206) 474-2001
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Sea Mar Community Health Centers
Seattle, Washington
Find Shannon Hertzog's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Shannon Rae Mallory Hertzog is a registered dietitian in Seattle, Washington
Shannon Hertzog practices at Sea Mar Community Health Centers in Seattle, Washington.
Shannon Hertzog's NPI, 1124602560, was assigned on May 11, 2021. Shannon Hertzog holds Washington license DI61176521.
- NPI
- 1124602560NPI Registry (opens in a new tab)
- NPI enumeration date
- May 11, 2021
- NPI status
- Active
- Practice phone
- (206) 474-2001
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 31
- Medical school graduation
- 2021
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Practice Data
Shannon Rae Mallory Hertzog practices at Sea Mar Community Health Centers in Seattle, Washington
Shannon Hertzog's primary practice is Sea Mar Community Health Centers, at 8720 14th S Ave, Seattle, WA 98108 in King County. The practice phone is (206) 474-2001.
- Sea Mar Community Health Centers8720 14th S Ave, Seattle, WA 98108 · King CountyPhone(206) 474-2001
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Shannon Rae Mallory Hertzog is affiliated with 3 sites of care and 2 medical groups
Shannon Hertzog's primary practice is Sea Mar Community Health Centers in Seattle, Washington. Shannon Hertzog is also affiliated with PeaceHealth St. John Medical Center. The medical group on file is PeaceHealth St. John Medical Center. Dmand AI also links Shannon Hertzog to 1 more group practice or clinic and 1 medical group, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Shannon Rae Mallory Hertzog's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Shannon Hertzog practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Sea Mar Community Health Centers | Available with a free account |
| +2 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Shannon Rae Mallory Hertzog is one of 497 registered dietitians in Washington
Dietitian, registered is Shannon Hertzog's primary specialty in the NPI Registry, under taxonomy code 133V00000X. Shannon Hertzog is licensed in Washington.
Specialties and state licenses
- Registered dietitian, WashingtonPrimary
Registered dietitians near Shannon Hertzog
Counts of registered dietitians with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Shannon Rae Mallory Hertzog's patients have a median age of 67
Across all payers, Dmand AI patient panel data puts Shannon Hertzog's median patient age at 67, with 70% women.
Shannon Hertzog's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 67
Patient panel by sex, all payers
- Women70%
- Men30%
Source: Dmand AI Patient Panel Data
Sources for Shannon Rae Mallory Hertzog's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Shannon Rae Mallory Hertzog
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What is Shannon Rae Mallory Hertzog's NPI number?
Shannon Rae Mallory Hertzog's NPI number is 1124602560. It was assigned on May 11, 2021, and it is active in the NPI Registry.
What does Shannon Rae Mallory Hertzog specialize in?
Shannon Rae Mallory Hertzog is a registered dietitian in Seattle, Washington. The primary specialty in the NPI Registry is Registered Dietitian (taxonomy code 133V00000X).
Where does Shannon Rae Mallory Hertzog practice?
Shannon Hertzog practices at 8720 14th S Ave, Seattle, WA 98108. Shannon Hertzog's primary practice is Sea Mar Community Health Centers in Seattle, Washington. Dmand AI also links Shannon Hertzog to 1 group practice or clinic and 1 medical group.
What is Shannon Rae Mallory Hertzog's office phone number?
The practice phone on file for Shannon Hertzog is (206) 474-2001.
What is Shannon Rae Mallory Hertzog's medical license number?
Shannon Hertzog holds Washington license DI61176521.
Which hospitals is Shannon Rae Mallory Hertzog affiliated with?
Shannon Hertzog is affiliated with PeaceHealth St. John Medical Center.
What medical group is Shannon Rae Mallory Hertzog part of?
Shannon Hertzog is linked to PeaceHealth St. John Medical Center. Dmand AI links Shannon Hertzog to 1 more medical group.
How long has Shannon Rae Mallory Hertzog been practicing?
Shannon Hertzog graduated from medical school in 2021, 5 years ago.
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