Shaun Riebl, PHD, RDN, LDN

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

L004645 Issued in NC

Practice address

102 Mason Farm Rd
CB# 7705
Chapel Hill, NC 27599-6134

Phone

(984) 974-3876

NPI assigned

Oct 26, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1487980546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 TRAIL VIEW LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MASON FARM RD",
            "address_2": "CB# 7705",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275996134",
            "telephone_number": "984-974-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEBL",
        "first_name": "SHAUN",
        "credential": "PHD, RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-26",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND5526",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "NC",
            "license": "L004645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diedra Lynnette Ricks, BS PT
• David Brooks Riddle, PH.D.
• Emilie Riddle
• Suzann Elizabeth Riddle
• David W. Rider, DNP, CRNA
• Eleanor Riegert, PSY.D.
• Jacqueline Herrfeldt Riely, M.D.
• Kathryn P Riesenman, MD
• John Riester, M.D.
• Ashley Marie Rietz, MD

• Renal Nutrition Registered Dietitian in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Renal Nutrition Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.