Kiah Suzanne Sanger, REGISTERED DIETITIAN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

10254746 Issued in OR

Practice address

122 E Main St Ste 400-110
Medford, OR 97501-6004

Phone

(541) 531-9548

NPI assigned

Mar 26, 2010

Last updated

Apr 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Table Rock Nutrition and Diabetes Clinic

  • Registered Dietitian
  • Medford, OR
  • NPI 1053106500

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1326362856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E MAIN ST STE 400-110",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975016004",
            "telephone_number": "541-531-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E MAIN ST STE 400-110",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975016004",
            "telephone_number": "541-531-9548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8495 Crater Lake Hwy",
            "address_2": "Bld 211 UN Rm 217",
            "address_purpose": "LOCATION",
            "city": "White City",
            "state": "OR",
            "postal_code": "975033011",
            "country_code": "US",
            "telephone_number": "541-826-2111 x3449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANGER",
        "first_name": "KIAH",
        "middle_name": "SUZANNE",
        "credential": "REGISTERED DIETITIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-26",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "10254746",
            "primary": true
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "OR",
            "license": "10254746",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra L Hanson MD PC
• Clancy Sands, LMT
• Tabitha Sandu
• Kellie Amber Sanford, CNA2
• Kenneth Gary Sanford, MD
• Jennifer Sanocki
• Lindsay C Santana
• Steve Issac Santoni, DC
• Jesus Santos
• Steven Sepehr Saraf, MD

• Registered Dietitian in Medford, OR
• Providers in Medford, OR by specialty
• Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.