NPIMap

Individual provider Active NPI

Sarah E Jernigan, RD, LD, IBCLC

  • Registered Dietitian
  • Dayton, OH
National Provider Identifier
1427714013
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD.10316 Issued in OH
Practice address
3022 Fairway Dr
Dayton, OH 45409-1408
Phone
(469) 525-6717
NPI assigned
Nov 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT85834 TX
Registered Dietitian 133V00000X 252645 KY
Registered Dietitian 133V00000X LD.10316 OH Primary

Addresses

Primary practice location

3022 Fairway Dr
Dayton, OH 45409-1408

Mailing address

3022 Fairway Dr
Dayton, OH 45409-1408
Phone (469) 525-6717

Other practice location 1

33 W Rahn Rd
Dayton, OH 45429-2219
Phone (469) 525-6717

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
252645KYMDRegistered Dietitian
LD.10316OHMDRegistered Dietitian
DT85834TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Jernigan and Neuhauser Nutrition and Lactation Consulting Dietitian, Registered CurrentSince Mar 31, 2024 Accepting new patients
Marjorie Nolan Cohn LLC Dietitian, Registered Past Accepting new patients

Locations

33 W Rahn Rd
Kettering, OH 45429
Phone 9374338990 ext. 102

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": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1427714013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 FAIRWAY DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454091408",
            "telephone_number": "469-525-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 FAIRWAY DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454091408",
            "telephone_number": "469-525-6717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 W Rahn Rd",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454292219",
            "country_code": "US",
            "telephone_number": "469-525-6717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JERNIGAN",
        "first_name": "SARAH",
        "middle_name": "E",
        "credential": "RD, LD, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT85834",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "252645",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.10316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.