Active NPI
Sarah Elise Polk, MS, RDN, LD
- Registered Dietitian
- Saint Louis, MO
National Provider Identifier
1528766581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2021037948
- Practice address
- 10004 Kennerly Rd Ste 370a
Saint Louis, MO 63128-5118 - Phone
- (314) 246-9072
- Fax
- (314) 627-7007
- NPI assigned
- Feb 20, 2023
- Last updated
- Jul 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2021037948 | MO | Primary |
Addresses
Primary practice location
10004 Kennerly Rd Ste 370a
Saint Louis, MO 63128-5118
Mailing address
4134 Quincy St
Saint Louis, MO 63116-2705
Phone (314) 246-9072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10004 Kennerly Rd
Suite 370a
Saint Louis, MO 63128-5118
Phone (314) 246-9072
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Polk Nutrition | Dietitian, Registered | Current | Accepting new patients |
Locations
10004 Kennerly Rd
Ste 370A
Saint Louis, MO 63128
Phone (314) 246-9072
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": "1676851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1528766581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4134 QUINCY ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631162705",
"telephone_number": "314-246-9072",
"fax_number": "314-627-7007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10004 KENNERLY RD STE 370A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631285118",
"telephone_number": "314-246-9072",
"fax_number": "314-627-7007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLK",
"first_name": "SARAH",
"middle_name": "ELISE",
"name_prefix": "Ms.",
"credential": "MS, RDN, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-20",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2021037948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.