Provider Demographics
NPI:1750694667
Name:SIBENGE, SHARI ANNETTE (RD)
Entity type:Individual
Prefix:MRS
First Name:SHARI
Middle Name:ANNETTE
Last Name:SIBENGE
Suffix:
Gender:
Credentials:RD
Other - Prefix:MISS
Other - First Name:SHARI
Other - Middle Name:ANNETTE
Other - Last Name:KINGSLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2501 COVINGTON LOOP
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27253-8480
Mailing Address - Country:US
Mailing Address - Phone:517-927-0538
Mailing Address - Fax:
Practice Address - Street 1:100 EASTOWNE DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2286
Practice Address - Country:US
Practice Address - Phone:849-974-4462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-20
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL003565133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered