Kimberly Jo Shaheen, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

819540 Issued in OH

Practice address

9001 W 130TH St
N Royalton, OH 44133-1011

Phone

(440) 237-3104

NPI assigned

Dec 3, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1376406744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 W 130TH ST",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441331011",
            "telephone_number": "440-237-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 W 130TH ST",
            "city": "N ROYALTON",
            "state": "OH",
            "postal_code": "441331011",
            "telephone_number": "440-237-3104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "819 Rockside Rd",
            "address_purpose": "LOCATION",
            "city": "Seven Hills",
            "state": "OH",
            "postal_code": "441311778",
            "country_code": "US",
            "telephone_number": "216-658-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAHEEN",
        "first_name": "KIMBERLY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-03",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "819540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in N Royalton, OH
• Providers in N Royalton, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.