Organization Active NPI

Sarah Lynn Nutrition

  • Registered Dietitian
  • Camillus, NY
National Provider Identifier
1730851346
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
SARAH LYNN NUTRITION
Practice address
5100 W Genesee St
Camillus, NY 13031-2354
Phone
(315) 334-2306
NPI assigned
Oct 1, 2021
Last updated
Jun 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Sarah Lynn QuickNPI 1669070413
Title
Registered Dietitian
Phone
(315) 401-0054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

5100 W Genesee St
Camillus, NY 13031-2354

Mailing address

5100 W Genesee St
Camillus, NY 13031-2354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241016003072 NY Part B Supplier - Clinic/Group Practice 3072045947 Receives reassigned benefits from 50 practitioners
Practice locations: Camillus, NY

National Provider Directory

National Provider Directory

Locations

5100 W Genesee St
Camillus, NY 13031
Phone (315) 401-0590

Practitioners & affiliated clinicians

Practitioners 59

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1730851346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W GENESEE ST",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W GENESEE ST",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312354",
            "telephone_number": "315-334-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH LYNN NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "QUICK",
        "authorized_official_first_name": "SARAH LYNN",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "315-401-0054"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camillus, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.