Provider Demographics
NPI:1205115375
Name:JAMES, SARAH J (RD, LD)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:J
Last Name:JAMES
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 OHIO ST STE B1
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47807-3529
Mailing Address - Country:US
Mailing Address - Phone:812-917-4229
Mailing Address - Fax:812-917-4326
Practice Address - Street 1:401 OHIO ST STE B1
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47807-3529
Practice Address - Country:US
Practice Address - Phone:812-917-4229
Practice Address - Fax:812-917-4326
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-08
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN37001726A133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty