Sarah Jennette Berry, R.D.
Individual provider Active NPI Registered Dietitian · Owasso, OK
NPI 1104018266 · NPPES record last updated Feb 10, 2012
Key facts
- NPI
- 1104018266
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1550 (OK)
- Practice address
- 10306 N 138TH East Ave
Owasso, OK 74055-4665 - Phone
- (918) 401-0006
- Fax
- (877) 380-4628
- NPI assigned
- Aug 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 516 | OK | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1550 | OK | Yes |
| Registered Dietitian | 133V00000X | 516 | OK |
Addresses
Primary practice location
10306 N 138TH East Ave
Owasso, OK 74055-4665
Mailing address
10746 E 120TH CT N
Collinsville, OK 74021-5542
Phone (918) 401-0006
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200117350C | Medicaid | OK |
Other providers in Owasso, OK
- Marjorie Bennett
- Tiffany Bennett
- Kelli Michelle Benton
- Jessica Berg
- Ashton Berry
- Prarthana Bhat
- Alyson Bickell
- Joseph William Bickford
- Stacy Marie Biddle
- Tiffany Biggerstaff
All providers in Owasso, OK · Registered Dietitian in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.