Active NPI
Sarah Faye Mabary, RD LD
- Registered Dietitian
- Emerson, IA
National Provider Identifier
1538155502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 805482
- Practice address
- 1584 420TH St
Emerson, IA 51533-6029 - Phone
- (712) 824-7570
- NPI assigned
- Sep 23, 2005
- Last updated
- Jun 14, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 00601 | IA | |
| Registered Dietitian | 133V00000X | 805482 | IA | Primary |
Addresses
Primary practice location
1584 420TH St
Emerson, IA 51533-6029
Mailing address
1584 420TH St
Emerson, IA 51533-6029
Phone (712) 824-7570
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 805482 | IA | MD | Registered Dietitian |
| 00601 | IA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465862400000",
"number": "1538155502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1584 420TH ST",
"city": "EMERSON",
"state": "IA",
"postal_code": "515336029",
"telephone_number": "712-824-7570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1584 420TH ST",
"city": "EMERSON",
"state": "IA",
"postal_code": "515336029",
"telephone_number": "712-824-7570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MABARY",
"first_name": "SARAH",
"middle_name": "FAYE",
"name_prefix": "Mrs.",
"credential": "RD LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-23",
"last_updated": "2016-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "00601",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "805482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Emerson, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.