MRS. SHANA LYNNE RUEBSAHM (R.D., L.D.) – Renal Nutrition Registered Dietitian, NPI 1659657997

MRS. SHANA LYNNE RUEBSAHM (R.D., L.D.) is a healthcare provider. based in San antonio, Texas. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials R.D., L.D.. The NPI Number for MRS. SHANA LYNNE RUEBSAHM (R.D., L.D.) is 1659657997

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHANA LYNNE RUEBSAHM (R.D., L.D.)
NPI
1659657997
Phone
(210) 464-6063
Address
7180 BANDERA RD
Enumeration Date
1 November 2011
Last Update Date
7 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2102771418
Graduation Year
2005 (21 years ago)
PAC ID
4385099795
Group Practice PAC ID
2365339751
Professional Enrollment ID
I20231004002990
Address ID
TX782043211SA915XXSTXX406
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:14State licenses:0Digital endpointsOther names

529 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in TX

Provider Addresses for MRS. SHANA LYNNE RUEBSAHM (R.D., L.D.)

  • 7180 BANDERA RD

    SAN ANTONIO, TX 782381295

    Phone: (210) 464-6063

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231004002990IRegistered Dietitian Or Nutrition ProfessionalTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78238)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365339751View full group profile
NameSpecialtyState
Nurse PractitionerTX
Cardiovascular Disease (Cardiology), Internal MedicineTX
Nurse PractitionerTX
-TX
Nephrology, Internal MedicineTX

Reviews

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Frequently asked questions

Can I cross-check MRS. SHANA LYNNE RUEBSAHM (R.D., L.D.) using NPI 1659657997?
NPI 1659657997 belongs to MRS. SHANA LYNNE RUEBSAHM (R.D., L.D.); compare other details if you need extra assurance.
Is MRS. SHANA LYNNE RUEBSAHM (R.D., L.D.) shown as active in public data?
Registry records indicate MRS. SHANA LYNNE RUEBSAHM (R.D., L.D.) maintains an active NPI.
What clinical focus is listed for MRS. SHANA LYNNE RUEBSAHM (R.D., L.D.)?
At a glance, MRS. SHANA LYNNE RUEBSAHM (R.D., L.D.) is tied to Renal Nutrition Registered Dietitian. Clinical services aligned with this taxonomy classification.
Where in Texas is MRS. SHANA LYNNE RUEBSAHM (R.D., L.D.) registered?
Use San Antonio, Texas as the headline location for MRS. SHANA LYNNE RUEBSAHM (R.D., L.D.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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