Sarah Gehring Provence, MS, RD, LDN, CDCES
NPI 1003476417ActiveIndividual· Dietitian, Registered· Southaven, MS
Dietitian, Registered (MS, RD, LDN, CDCES) with Nourish Inc, practicing in Southaven, Mississippi. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1003476417 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, RD, LDN, CDCES |
| Sole proprietor | No |
| NPI issued | Jun 18, 2019 |
| Last updated in NPPES | Dec 14, 2023 |
| Certified by provider | Dec 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | D1643 | MS |
| Dietitian, Registered, Nutrition, Pediatric | 133VN1004X | 2733 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (TX) |
|---|
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Nourish IncAustin, TX · 300 clinicians
Other Dietitian, Registered providers in Southaven
- 1609297779
- 1518268705
- 1255758504
- 1083025944
- 1922336387
- 1740450410
- 1700057031
- 1720385974
- 1467623835
- 1861366585
- 1629373279
- 1386941540