Active NPI
Sara Marie Haerther, RD, LD, MPP-D
- Registered Dietitian
- Grimes, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 099603
- Practice address
- 1509 NE Heritage Dr
Grimes, IA 50111-1190 - Phone
- (641) 425-6629
- NPI assigned
- Oct 29, 2020
- Last updated
- Jul 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 099603 | IA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas County Hospital | Current | 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 | Current | Accepting new patients |
Locations
610 10th St
Perry, IA 50220
Phone (515) 465-3547
Interoperability endpoints
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Perry Lutheran Home | Skilled nursing facility | Operational/Managerial Control | May 16, 2022 |
| Perry Lutheran Homes Eden Acres Campus | 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.
-
dba Perry Lutheran Home
- Nursing Facility/Intermediate Care Facility
- Perry, IA
- NPI 1861549719
Operational/Managerial Control
-
dba Perry Lutheran Homes Eden Acres Campus
- Skilled Nursing Facility
- Perry, IA
- NPI 1699389346
Operational/Managerial Control
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.
-
- Critical Access Hospital
- Perry, IA
- NPI 1669477089
-
- Emergency Medicine Physician
- Perry, IA
- NPI 1861416307
-
dba DCH Family Medicine Dallas Center
- Rural Health Clinic/Center
- Dallas Center, IA
- NPI 1194412478
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Dietitian, Registered
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.