Provider Demographics
NPI:1558428011
Name:TRIMBLE, SARAH PEOPLES (RD, LD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:PEOPLES
Last Name:TRIMBLE
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:MARTIN
Other - Last Name:PEOPLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, LD
Mailing Address - Street 1:229 LAWRENCE ST
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42431-2471
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:412 N KENTUCKY AVE
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:KY
Practice Address - Zip Code:42431-1711
Practice Address - Country:US
Practice Address - Phone:270-821-5242
Practice Address - Fax:270-825-0138
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-0994133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered