Provider Demographics
NPI:1285433045
Name:DUST, SARA (MS, RD, RDN)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:DUST
Suffix:
Gender:
Credentials:MS, RD, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 PINE CREST LN
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-9520
Mailing Address - Country:US
Mailing Address - Phone:773-628-4493
Mailing Address - Fax:
Practice Address - Street 1:2450 GOODLETTE-FRANK RD N STE 201
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-4595
Practice Address - Country:US
Practice Address - Phone:239-624-0870
Practice Address - Fax:239-624-0871
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-12
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND9656133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered