Individual provider Active NPI

Sarah Brice Klaverweiden

  • Nutritionist
  • Salisbury, MD
National Provider Identifier
1497284608
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
DX4436 Issued in MD
Practice address
301 Brookview Dr
Salisbury, MD 21804-3907
Phone
(410) 973-2371
NPI assigned
Jun 9, 2017
Reactivated
Aug 21, 2023
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X DX4436 MD Primary

Addresses

Primary practice location

301 Brookview Dr
Salisbury, MD 21804-3907

Mailing address

301 Brookview Dr
Salisbury, MD 21804-3907
Phone (443) 557-8411

Other identifiers 1

IdentifierTypeStateIssuer
483106300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 20, 2026 through Mar 20, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DX4436MDMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean City Nutrition Nutritionist CurrentSince Dec 3, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1497284608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BROOKVIEW DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218043907",
            "telephone_number": "443-557-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BROOKVIEW DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218043907",
            "telephone_number": "410-973-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAVERWEIDEN",
        "first_name": "SARAH",
        "middle_name": "BRICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "deactivation_date": "2021-08-24",
        "reactivation_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX4436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "483106300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.