Individual provider Active NPI

Sarah Elizabeth Thornberry, RDN

  • Registered Dietitian
  • Enid, OK
National Provider Identifier
1376387183
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1817 Issued in OK
Practice address
1501 Katie LN
Enid, OK 73701-7638
Phone
(405) 651-1250
NPI assigned
Jun 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1817 OK Primary

Addresses

Primary practice location

1501 Katie LN
Enid, OK 73701-7638

Mailing address

1501 Katie LN
Enid, OK 73701-7638
Phone (405) 651-1250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250609001210 OK Practitioner - Registered Dietitian Or Nutrition Professional 1456861574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Banister and Associates, LLCGroup PAC ID 4688773302, 6 clinicians

Practice addresses (Care Compare)

10914 Hefner Pointe Dr
Suite 304
Oklahoma City, OK 73120-5068
Phone (405) 755-7561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1817OKMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
A New Day Nutrition Services LLC Dietitian, Registered CurrentSince Jul 7, 2024 Accepting new patients
Banister & Associates LLC CurrentSince May 19, 2025 Accepting new patients

Locations

10914 Hefner Pointe Dr
Ste 304
Oklahoma City, OK 73120
Phone (405) 608-2772

10914 Hefner Pointe Dr
Oklahoma City, OK 73120
Phone (405) 488-7226

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1376387183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 KATIE LN",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737017638",
            "telephone_number": "405-651-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KATIE LN",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737017638",
            "telephone_number": "405-651-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNBERRY",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "1817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.