Individual provider Active NPI

Louis R Sarry, LDN, CNS

  • Nutritionist
  • Clarksville, MD
National Provider Identifier
1447606256
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
DX3857 Issued in MD
Practice address
12315 Wake Forest Rd
Clarksville, MD 21029-1508
Phone
(240) 232-6447
NPI assigned
May 11, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X DX3857 MD Primary

Addresses

Primary practice location

12315 Wake Forest Rd
Clarksville, MD 21029-1508

Mailing address

12315 Wake Forest Rd
Clarksville, MD 21029-1508
Phone (240) 232-6447

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
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
DX3857MDMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1447606256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12315 WAKE FOREST RD",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291508",
            "telephone_number": "240-232-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12315 WAKE FOREST RD",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291508",
            "telephone_number": "240-232-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARRY",
        "first_name": "LOUIS",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "LDN, CNS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX3857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.