Individual provider Active NPI

Sahar Fayad, RD, LD, CDCES

  • Registered Dietitian
  • College Station, TX
National Provider Identifier
1548746290
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
39393-DI-0 Issued in NV
Practice address
1551 Greens Prairie Rd W Ste 101a
College Station, TX 77845-8666
Phone
(979) 465-7618
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 39393-DI-0 NV Primary

Addresses

Primary practice location

1551 Greens Prairie Rd W Ste 101a
College Station, TX 77845-8666

Mailing address

1551 Greens Prairie Rd W Ste 101a
College Station, TX 77845-8666
Phone (979) 465-7618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180921002511 NV Practitioner - Registered Dietitian Or Nutrition Professional 7517218001 Reassigns benefits to 1 organization
I20220812002112 TX Practitioner - Registered Dietitian Or Nutrition Professional 7517218001 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Nutrition 12 LLC Dietitian, Registered CurrentSince Jul 18, 2022 Accepting new patients
Quang Nguyen DO PLLC CurrentSince Jul 18, 2022 Accepting new patients

Locations

229 N Pecos Rd
Ste 100
Henderson, NV 89074
Phone (702) 367-6370

9900 Spectrum Dr
Austin, TX 78717
Phone (512) 522-0340

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1548746290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 GREENS PRAIRIE RD W STE 101A",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458666",
            "telephone_number": "979-465-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 GREENS PRAIRIE RD W STE 101A",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458666",
            "telephone_number": "979-465-7618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYAD",
        "first_name": "SAHAR",
        "credential": "RD, LD, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NV",
            "license": "39393-DI-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.