Individual provider Active NPI

Sarah Ann Egebergh

  • Renal Nutrition Registered Dietitian
  • Tallahassee, FL
National Provider Identifier
1205776358
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
ND7038 Issued in FL
Practice address
406 Piedmont Dr
Tallahassee, FL 32312-2324
Phone
(850) 854-8001
Fax
(850) 854-8002
NPI assigned
Mar 30, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X ND7038 FL Primary

Addresses

Primary practice location

406 Piedmont Dr
Tallahassee, FL 32312-2324

Mailing address

406 Piedmont Dr
Tallahassee, FL 32312-2324
Phone (850) 854-8001

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

LicenseStateTypeSpecialty
ND7038FLMDRenal Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1205776358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 PIEDMONT DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323122324",
            "telephone_number": "850-854-8001",
            "fax_number": "850-854-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 PIEDMONT DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323122324",
            "telephone_number": "850-854-8001",
            "fax_number": "850-854-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGEBERGH",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "FL",
            "license": "ND7038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.