Active NPI
Sara K. Riehm, RD, LD/N
- Registered Dietitian
- Winter Garden, FL
National Provider Identifier
1639821085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND9555
- Practice address
- 17000 Porter Rd Ste 204
Winter Garden, FL 34787-8915 - Phone
- (407) 407-3049
- NPI assigned
- Jan 26, 2022
- Last updated
- Jan 26, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND9555 | FL | Primary |
Addresses
Primary practice location
17000 Porter Rd Ste 204
Winter Garden, FL 34787-8915
Mailing address
1733 Lakemont Ave Apt 201
Orlando, FL 32814-6350
Phone (803) 312-5919
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND9555 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | 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": "1643155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1639821085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1733 LAKEMONT AVE APT 201",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328146350",
"telephone_number": "803-312-5919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17000 PORTER RD STE 204",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347878915",
"telephone_number": "407-407-3049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEHM",
"first_name": "SARA",
"middle_name": "K.",
"credential": "RD, LD/N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-26",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND9555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.