Active NPI
Shana Lynne Ruebsahm, R.D., L.D.
- Renal Nutrition Registered Dietitian
- San Antonio, TX
National Provider Identifier
1659657997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- Practice address
- 7180 Bandera Rd
San Antonio, TX 78238-1295 - Phone
- (210) 464-6063
- NPI assigned
- Nov 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | Primary |
Addresses
Primary practice location
7180 Bandera Rd
San Antonio, TX 78238-1295
Mailing address
7180 Bandera Rd
San Antonio, TX 78238-1295
Phone (210) 464-6063
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231004002990 | TX | Practitioner - Registered Dietitian Or Nutrition Professional | 4385099795 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert G. Szewc, M.D., P.a. | Dietitian, Registered | Current | Accepting new patients |
| SNG - Barlite San Saba Dialysis Centers LP | Past | Accepting new patients |
Locations
915 S Laredo St
San Antonio, TX 78204
Phone (210) 798-1955
915 S Laredo St
#200
San Antonio, TX 78204
Phone (210) 798-1965
315 N San Saba
Ste 102
San Antonio, TX 78207
Phone (210) 224-1079
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nephrology Physician
- San Antonio, TX
- NPI 1366599888
Dietitian, Registered, TX
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Antonio, TX
- NPI 1760700298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717718400000",
"number": "1659657997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7180 BANDERA RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782381295",
"telephone_number": "210-464-6063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7180 BANDERA RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782381295",
"telephone_number": "210-464-6063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUEBSAHM",
"first_name": "SHANA",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "R.D., L.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-01",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.