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MISS SARA HANSON MS, RD, LD
NPI 1104232990
Dietitian, Registered - Nutrition, Pediatric in Tyler, TX

Active since July 01, 2014
1358 E RICHARDS ST, TYLER, TX 75702(903) 531-9455 Get Directions Write a Review

NPPES record last updated: July 1, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Sara Hanson Ms, Rd, Ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS SARA HANSON MS, RD, LD (NPI 1104232990) is an individual nutrition, pediatric provider in Tyler, Texas, licensed in Texas (#DT82562) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1104232990
Entity TypeIndividualFemale
Primary Taxonomy133VN1004X
Provider Legal NameMISS SARA HANSONCredential: MS, RD, LD
Location Address1358 E RICHARDS STTyler, TX 75702-6153
Mailing AddressPo Box 1238Tyler, TX 75710-1238
Phone(903) 531-9455
Sole ProprietorNo
Enumeration DateJuly 1, 2014
✔ NPI 1104232990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers
Taxonomy Code133VN1004X
License✔ Licensed in TX · #DT82562
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
1358 E RICHARDS ST, Tyler, TX 75702
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Other Identifiers 1

Medicaid27-0954405TX

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAWN MARCELLE WILSON LCSW
Social Worker (Clinical)
1358 E RICHARDS ST
TYLER, TX 75702
Smith County (903) 595-5525
VANESSA OLIVEROS LMSW
Social Worker
1358 E RICHARDS ST
TYLER, TX 75702
Smith County (903) 595-5525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sara Hanson's NPI number?

The NPI number for Sara Hanson is 1104232990. It was assigned to this individual provider in the NPPES registry on July 1, 2014.

Where is Sara Hanson located?

Sara Hanson practices at 1358 E Richards St, Tyler, TX 75702. The listed phone number is (903) 531-9455.

What is Sara Hanson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

When was this NPI record last updated?

The NPPES record for Sara Hanson was last updated on July 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.