Sarah Rose Bouchamoun, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN007006 Issued in PA

Practice address

591 Brunswick Pike
Lambertville, NJ 08530-2720

Phone

(267) 221-7960

NPI assigned

Jul 15, 2020

Last updated

Aug 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sarah Rose Fetter Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1801404983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 DEERFIELD CIR",
            "city": "PERKASIE",
            "state": "PA",
            "postal_code": "189442473",
            "telephone_number": "267-221-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 BRUNSWICK PIKE",
            "city": "LAMBERTVILLE",
            "state": "NJ",
            "postal_code": "085302720",
            "telephone_number": "267-221-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHAMOUN",
        "first_name": "SARAH",
        "middle_name": "ROSE",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN007006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "FETTER",
            "middle_name": "ROSE",
            "credential": "RD, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kurt C Barbagallo, L.M.T.
• Barbara Atwood
• Cindy Barter, MD
• Kathleen Constance Bartolucci, LCSW
• Karen Lynn Borden
• Julie Ann Buranelli, LCSW
• Melissa Burgos, MD
• Venus Butardo
• Judson D. Chaney, N.D., MSAC
• Patricia G. Chichon, RN APNC

• Registered Dietitian in Lambertville, NJ
• Providers in Lambertville, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.