Individual provider Active NPI

Carol S Shimberg, RD

  • Registered Dietitian
  • Arden, NC
National Provider Identifier
1174584247
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
712658 Issued in NC
Practice address
605 Olde Covington Way
Arden, NC 28704-9336
Phone
(828) 329-3855
Fax
(828) 298-5983
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 712658 NC Primary

Addresses

Primary practice location

605 Olde Covington Way
Arden, NC 28704-9336

Mailing address

605 Olde Covington Way
Arden, NC 28704-9336
Phone (828) 329-3855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
712658NCMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174584247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 OLDE COVINGTON WAY",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287049336",
            "telephone_number": "828-329-3855",
            "fax_number": "828-298-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 OLDE COVINGTON WAY",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287049336",
            "telephone_number": "828-329-3855",
            "fax_number": "828-298-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMBERG",
        "first_name": "CAROL",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "712658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.