Provider Demographics
NPI:1649964750
Name:GILBERT, SARAH (RDN, LD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:GILBERT
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 SUMMIT TER APT 48
Mailing Address - Street 2:
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-2212
Mailing Address - Country:US
Mailing Address - Phone:703-727-6963
Mailing Address - Fax:
Practice Address - Street 1:106 SUMMIT TER APT 48
Practice Address - Street 2:
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-2212
Practice Address - Country:US
Practice Address - Phone:703-727-6963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDI1466133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered