Sage Nutrition Solutions, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

SAGE NUTRITION SOLUTIONS, LLC

Practice address

78 Main St Ste B
Pepperell, MA 01463-1561

Phone

(978) 257-3962

Fax

(978) 268-5210

NPI assigned

Jan 31, 2026

Organization subpart

No

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

Authorized official

Name

Mrs. Gwen Gloria Johnson, RDNNPI 1245823434

Title

Owner

Phone

(978) 257-3962

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gwen Gloria Johnson, RD, LD

  • Registered Dietitian
  • Pepperell, MA
  • NPI 1245823434

  Dietitian, Registered, MA

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1769817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769817600000",
    "number": "1023968856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ASHLEY ST",
            "city": "PEPPERELL",
            "state": "MA",
            "postal_code": "014634206",
            "telephone_number": "978-257-3962",
            "fax_number": "978-268-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 MAIN ST STE B",
            "city": "PEPPERELL",
            "state": "MA",
            "postal_code": "014631561",
            "telephone_number": "978-257-3962",
            "fax_number": "978-268-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE NUTRITION SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-31",
        "last_updated": "2026-01-31",
        "certification_date": "2026-01-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GWEN",
        "authorized_official_middle_name": "GLORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-257-3962",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Pepperell, MA
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2026; 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.