{
"Npi": {
"NPI": "1750694667",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SIBENGE",
"FirstName": "SHARI",
"MiddleName": "ANNETTE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "RD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "KINGSLEY",
"OtherFirstName": "SHARI",
"OtherMiddleName": "ANNETTE",
"OtherNamePrefix": "MISS",
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "2501 COVINGTON LOOP",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GRAHAM",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "27253-8480",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "517-927-0538",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "100 EASTOWNE DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CHAPEL HILL",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "27514-2286",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "849-974-4462",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/20/2010",
"LastUpdateDate": "04/01/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "133V00000X",
"TaxonomyName": "Registered Dietitian",
"LicenseNumber": "L003565",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}