Active NPI
Sprouts Nutrition LLC
- Registered Dietitian
- Matthews, NC
National Provider Identifier
1811726656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- SPROUTS NUTRITION LLC
- Practice address
- 1300 Gainsborough Dr
Matthews, NC 28104-6745 - Phone
- (704) 651-4374
- NPI assigned
- Jul 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Sullivan, MS, RD, LDN
- Title
- Owner Dietitian
- Phone
- (704) 651-4374
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
1300 Gainsborough Dr
Matthews, NC 28104-6745
Mailing address
1300 Gainsborough Dr
Matthews, NC 28104-6745
Phone (704) 651-4374
Other names 1
- Sarah Sullivan
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Metabolic Nutrition Registered Dietitian
- Memphis, TN
- NPI 1982936092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722297600000",
"number": "1811726656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 GAINSBOROUGH DR",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281046745",
"telephone_number": "704-651-4374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 GAINSBOROUGH DR",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281046745",
"telephone_number": "704-651-4374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPROUTS NUTRITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-30",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A",
"authorized_official_last_name": "SULLIVAN",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "OWNER DIETITIAN",
"authorized_official_telephone_number": "704-651-4374",
"authorized_official_credential": "MS, RD, LDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sarah Sullivan",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Matthews, NC
- Spelios and Associates PA III
- Jason D Sperati, DDS MS
- Robert Scott Spies, M.D.
- Michael A Spring, MS, ATC, DC
- Springhealth Behavioral Health and Integrated Care South Carolina, LLC
- Janna Colleen Spurr, LCSW
- Stallings Emergency Physicians, PLLC
- Allex Candra Stam, RD
- Melanie Smalley Stanislawski, DO
- Ava Elisabeth Starnes
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.