Individual provider Active NPI

Sarah Jennifer Durand, RDN

  • Registered Dietitian
  • Warwick, RI
National Provider Identifier
1053076612
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN01159 Issued in RI
Practice address
15 Wharf Rd
Warwick, RI 02889-4231
Phone
(401) 654-9268
Fax
(401) 361-0700
NPI assigned
Nov 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LDN01159 RI Primary
Registered Dietitian 133V00000X 2179 AR

Addresses

Primary practice location

15 Wharf Rd
Warwick, RI 02889-4231

Mailing address

15 Wharf Rd
Warwick, RI 02889-4231
Phone (401) 654-9268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220210000117 RI Practitioner - Registered Dietitian Or Nutrition Professional 0446643779 Practice locations: Warwick, RI
I20220215002361 AR Practitioner - Registered Dietitian Or Nutrition Professional 0446643779 Practice locations: Bentonville, AR

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Warwick, RI 02889
Phone (401) 654-9268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2179ARMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1053076612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WHARF RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028894231",
            "telephone_number": "401-654-9268",
            "fax_number": "401-361-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WHARF RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028894231",
            "telephone_number": "401-654-9268",
            "fax_number": "401-361-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAND",
        "first_name": "SARAH",
        "middle_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "LDN01159",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "2179",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.