Individual provider Active NPI

Sara Vance, MS, RD, LD, CHES

  • Registered Dietitian
  • Smithville, MS
National Provider Identifier
1912693391
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
60021 Monroe St
Smithville, MS 38870-7779
Phone
(662) 651-4637
NPI assigned
Apr 18, 2023
Last updated
May 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

60021 Monroe St
Smithville, MS 38870-7779

Mailing address

60021 Monroe St
Smithville, MS 38870-7779
Phone (662) 651-4637

Other names 1

  • Sara Cagle Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230705001820 MS Practitioner - Registered Dietitian Or Nutrition Professional 3476912775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

499 Gloster Creek VLG
D1
Tupelo, MS 38801-4753
Phone (662) 690-8007

60021 Monroe St
Smithville, MS 38870-7779
Phone 66265146372008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Access Family Health Services, Inc. CurrentSince Apr 17, 2023 Accepting new patients
Access Family Health Services, Inc. Current Accepting new patients
Access Family Health Services, Inc. CurrentSince Apr 17, 2023 Accepting new patients

Locations

106 Walker St
Houlka, MS 38850
Phone (662) 568-3316

60021 Monroe St
Smithville, MS 38870
Phone (662) 651-4637

Organizations & group practices 3

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": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1912693391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60021 MONROE ST",
            "city": "SMITHVILLE",
            "state": "MS",
            "postal_code": "388707779",
            "telephone_number": "662-651-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60021 MONROE ST",
            "city": "SMITHVILLE",
            "state": "MS",
            "postal_code": "388707779",
            "telephone_number": "662-651-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "SARA",
        "credential": "MS, RD, LD, CHES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "CAGLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Smithville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.