Provider Demographics
NPI:1568883577
Name:HATFIELD, SARAH (RDN)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:HATFIELD
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 WILLOW WAY
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:TX
Mailing Address - Zip Code:77657-6976
Mailing Address - Country:US
Mailing Address - Phone:409-227-4451
Mailing Address - Fax:409-729-5534
Practice Address - Street 1:2234 NEDERLAND AVE
Practice Address - Street 2:
Practice Address - City:PORT NECHES
Practice Address - State:TX
Practice Address - Zip Code:77651-3926
Practice Address - Country:US
Practice Address - Phone:409-722-5533
Practice Address - Fax:409-729-5534
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-17
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86043277133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered