Individual provider Active NPI

Sara Marie Haerther, RD, LD, MPP-D

  • Registered Dietitian
  • Grimes, IA
National Provider Identifier
1952901803
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
099603 Issued in IA
Practice address
1509 NE Heritage Dr
Grimes, IA 50111-1190
Phone
(641) 425-6629
NPI assigned
Oct 29, 2020
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 099603 IA Primary
Registered Dietitian 133V00000X 1516 NE

Addresses

Primary practice location

1509 NE Heritage Dr
Grimes, IA 50111-1190

Mailing address

1509 NE Heritage Dr
Grimes, IA 50111-1190
Phone (641) 425-6629

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240731001695 IA Practitioner - Registered Dietitian Or Nutrition Professional 6406393164 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
099603IAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital CurrentSince Jun 1, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Dietitian, Registered Current Accepting new patients
Dallas County Hospital Current Accepting new patients
Dallas County Hospital CurrentSince Jun 1, 2024 Accepting new patients

Locations

610 10th St
Perry, IA 50220
Phone (515) 465-3547

Interoperability endpoints

  • Direct secure messaging: saratefft@tdh.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Perry Lutheran HomePerry, IA, CCN 165606 Skilled nursing facility Operational/Managerial Control May 16, 2022
Perry Lutheran Homes Eden Acres CampusPerry, IA, CCN 165795 Skilled nursing facility Operational/Managerial Control May 16, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1952901803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 NE HERITAGE DR",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501111190",
            "telephone_number": "641-425-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 NE HERITAGE DR",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501111190",
            "telephone_number": "641-425-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAERTHER",
        "first_name": "SARA",
        "middle_name": "MARIE",
        "credential": "RD, LD, MPP-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "099603",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NE",
            "license": "1516",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grimes, IA

Sources for this page

Verify at the official NPI Registry.