Active NPI
Sara Lynne Peidle, R.D.N.
- Registered Dietitian
- El Paso, TX
National Provider Identifier
1124418397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 9396734-4901
- Practice address
- 14253 Spanish Point Dr
El Paso, TX 79938-5384 - Phone
- (915) 760-0174
- NPI assigned
- Jan 27, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 9396734-4901 | UT | Primary |
Addresses
Primary practice location
14253 Spanish Point Dr
El Paso, TX 79938-5384
Mailing address
3945 Washington Blvd
Ogden, UT 84403-1825
Phone (801) 479-4105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9396734-4901 | UT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1124418397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3945 WASHINGTON BLVD",
"city": "OGDEN",
"state": "UT",
"postal_code": "844031825",
"telephone_number": "801-479-4105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14253 SPANISH POINT DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799385384",
"telephone_number": "915-760-0174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEIDLE",
"first_name": "SARA",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"credential": "R.D.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-27",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "UT",
"license": "9396734-4901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.