Active NPI
Sara Kubetin, RD
- Registered Dietitian
- Brockton, MA
National Provider Identifier
1164890935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3830
- Practice address
- 201 Court St
Brockton, MA 02302-4601 - Phone
- (508) 941-7000
- NPI assigned
- Sep 9, 2015
- Last updated
- Oct 7, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86014100 | MA | |
| Registered Dietitian | 133V00000X | 3830 | MA | Primary |
Addresses
Primary practice location
201 Court St
Brockton, MA 02302-4601
Mailing address
130 Quincy Ave FL 2
Brockton, MA 02302-2803
Phone (508) 941-7250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86014100 | MA | MD | Registered Dietitian |
| 3830 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alisonrd LLC | Current | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Locations
3 Allied Dr
Ste 303
Dedham, MA 02026
Phone (617) 645-4819
Interoperability endpoints
- sara.kubetin@direct.signature.masshiway.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Specialty Clinic/Center
- Dedham, MA
- NPI 1891221834
-
dba Signature Medical
- Internal Medicine Physician
- Brockton, MA
- NPI 1508804949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791331200000",
"number": "1164890935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 QUINCY AVE FL 2",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023022803",
"telephone_number": "508-941-7250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 COURT ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023024601",
"telephone_number": "508-941-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUBETIN",
"first_name": "SARA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-09",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "86014100",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "3830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.