Sage Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN002004 Issued in PA

Legal business name

SAGE NUTRITION, LLC

Practice address

150 N Radnor Chester Rd
Ste F-200
Radnor, PA 19087-5252

Phone

(610) 977-2076

Fax

(610) 977-0043

NPI assigned

Jul 11, 2011

Organization subpart

No

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

Authorized official

Name

Theresa Sage, RD, LDN

Title

President

Phone

(610) 977-2076

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1982992087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N RADNOR CHESTER RD",
            "address_2": "STE F-200",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "190875252",
            "telephone_number": "610-977-2076",
            "fax_number": "610-977-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N RADNOR CHESTER RD",
            "address_2": "STE F-200",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "190875252",
            "telephone_number": "610-977-2076",
            "fax_number": "610-977-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "SAGE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-977-2076",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN002004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa S Rosen, MD
• Beth Rachael Rosenbaum, MSW LCSW ACSW
• Rudolf Roth, MD
• Linda Rothweilerj
• Precious Rowland
• Patricia Christoff Salisbury, M.S.-CCC-SLP
• Amanda Sassi
• Karen Sax, LSW
• Catherine Schultz, PSY.D.
• Sarah Schultz, MD

• Registered Dietitian in Radnor, PA
• Providers in Radnor, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.