Individual provider Active NPI

Shana Lynne Ruebsahm, R.D., L.D.

  • Renal Nutrition Registered Dietitian
  • San Antonio, TX
National Provider Identifier
1659657997
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
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

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Robert G. Szewc, M.D., P.a. Dietitian, Registered CurrentSince Jul 1, 2023 Accepting new patients
SNG - Barlite San Saba Dialysis Centers LP PastSince Jul 1, 2023 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.

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.

Verify at the official NPI Registry.