Elizabeth Moreau Sarle, RD,LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

TD1217 Issued in ME

Practice address

420 Franklin St
Rumford, ME 04276-2104

Phone

(207) 369-1000

Fax

(207) 369-1182

NPI assigned

Oct 8, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Moreau Perry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1134522873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 FRANKLIN ST",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042762104",
            "telephone_number": "207-369-1000",
            "fax_number": "207-369-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 FRANKLIN ST",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042762104",
            "telephone_number": "207-369-1000",
            "fax_number": "207-369-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARLE",
        "first_name": "ELIZABETH",
        "middle_name": "MOREAU",
        "credential": "RD,LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "TD1217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "PERRY",
            "middle_name": "MOREAU",
            "credential": "RD, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abegail Deleon Sabellano
• Katrina Salmon
• Kenneth Sanborn
• Susan J Santucci, PT
• Benjamin Sarle
• Secret Beneath
• Stephanie Sinclair, MD
• Nicholas Patrick Sirois, D.M.D.
• Jacquelyn Nicole Smith, PHARMD
• Jenni M Smith, LCPC-C

• All providers in Rumford, ME
• Registered Dietitian in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.