Table Rock Nutrition and Diabetes Clinic

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

TABLE ROCK NUTRITION AND DIABETES CLINIC

Practice address

122 E Main St Ste 400-110
Medford, OR 97501-6004

Phone

(541) 531-9548

NPI assigned

Apr 14, 2025

Organization subpart

No

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

Authorized official

Name

Kiah S Sanger, RDNPI 1326362856

Title

Owner

Phone

(541) 531-9548

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kiah Suzanne Sanger, REGISTERED DIETITIAN

  • Registered Dietitian
  • Medford, OR
  • NPI 1326362856

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1053106500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E MAIN ST STE 400-110",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975016004",
            "telephone_number": "541-531-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E MAIN ST STE 400-110",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975016004",
            "telephone_number": "541-531-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABLE ROCK NUTRITION AND DIABETES CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "SANGER",
        "authorized_official_first_name": "KIAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-531-9548",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Sykes, PMHNP-BC
• June Symens, M.D.
• Susan Szczesniak
• Kristine Sziel
• Jennifer E Szoyka
• Laura Blake Tagg
• Carmen Ann Taibi, THW
• Sita Salina Marie Taibi, PA
• Mizuko Takamoto
• Take Care at Home Inc

• Registered Dietitian in Medford, OR
• Providers in Medford, OR by specialty
• Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.