Sarah Elizabeth Thornberry, RDN
Dietitian, Registered in Enid, OK. Individual provider (NPI-1).
NPI number1376387183
StatusActive
Last updated in NPPESJun 25, 2024
Details
- NPI
- 1376387183
- Entity type
- Individual (NPI-1)
- Name
- Sarah Elizabeth Thornberry
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2024
- Certification date
- Jun 25, 2024
- Last updated
- Jun 25, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONA
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1817 | OK | Yes |
Practice location
1501 Katie LnEnid, OK 73701-7638
Phone 405-651-1250
Mailing address
1501 Katie LnEnid, OK 73701-7638
Phone 405-651-1250
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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