Provider Demographics
NPI:1427846062
Name:LIPPINCOTT, SARAH JENNIE (RD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JENNIE
Last Name:LIPPINCOTT
Suffix:
Gender:
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 WINTERGREEN LN
Mailing Address - Street 2:
Mailing Address - City:WEST SIMSBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06092-2636
Mailing Address - Country:US
Mailing Address - Phone:917-846-3574
Mailing Address - Fax:917-846-3574
Practice Address - Street 1:6 WINTERGREEN LN
Practice Address - Street 2:
Practice Address - City:WEST SIMSBURY
Practice Address - State:CT
Practice Address - Zip Code:06092-2636
Practice Address - Country:US
Practice Address - Phone:917-846-3574
Practice Address - Fax:917-846-3574
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1047219133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered