Provider Demographics
NPI:1508513748
Name:JEROME, SARAH E (RD, LMNT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:JEROME
Suffix:
Gender:F
Credentials:RD, LMNT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7710 MERCY RD STE 3000
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-2350
Mailing Address - Country:US
Mailing Address - Phone:402-717-1299
Mailing Address - Fax:402-717-0770
Practice Address - Street 1:7710 MERCY RD STE 3000
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-2350
Practice Address - Country:US
Practice Address - Phone:402-717-1299
Practice Address - Fax:402-717-0770
Is Sole Proprietor?:No
Enumeration Date:2022-03-08
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1562133V00000X, 133N00000X
IA106273133V00000X, 133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered