Sarah Elizabeth Rudolph, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND4611 Issued in FL

Practice address

4076 Green Tree Ave
Sarasota, FL 34233-4053

Phone

(941) 284-9966

NPI assigned

Aug 9, 2024

Last updated

Aug 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sarasota Nutrition Center LLCGroup PAC ID 9032647912, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Sarasota Nutrition Center LLC

  dba Komplete Nutrition Center

  • Registered Dietitian
  • Sarasota, FL
  • NPI 1104685338

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1861223117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4076 GREEN TREE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342334053",
            "telephone_number": "941-284-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4076 GREEN TREE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342334053",
            "telephone_number": "941-284-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND4611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rudhra Lla (University Pharmacy)
• Rudhra LLC (University Pharmacy)
• Alan T Rudolph, MD
• Connie Jayne Rudolph, CNM
• Dennis Dean Rudolph, RPH
• Lynn Ruffolo, APRN
• Katerine Ruiz Arenas
• Cecille M Ruiz, DMD
• Robert D Runk, PA
• Kyle K. Runnels, M.D.

• Registered Dietitian in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.