Sarah Faye Mabary, RD LD
Individual provider Active NPI Registered Dietitian · Emerson, IA
NPI 1538155502 · NPPES record last updated Jun 14, 2016
Key facts
- NPI
- 1538155502
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 805482 (IA)
- Practice address
- 1584 420TH St
Emerson, IA 51533-6029 - Phone
- (712) 824-7570
- NPI assigned
- Sep 23, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 805482 | IA | MD | Registered Dietitian |
| 00601 | IA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 00601 | IA | |
| Registered Dietitian | 133V00000X | 805482 | IA | Yes |
Addresses
Primary practice location
1584 420TH St
Emerson, IA 51533-6029
Mailing address
1584 420TH St
Emerson, IA 51533-6029
Phone (712) 824-7570
Other providers in Emerson, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.