Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SARA KUBETIN RD
NPI 1164890935
Dietitian, Registered in Brockton, MA

Q: What is Sara Kubetin's NPI number?

The NPI number for Sara Kubetin is 1164890935. It was assigned to this individual provider in the NPPES registry on September 9, 2015.

Q: What is Sara Kubetin's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Sara Kubetin was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.

Active since September 09, 2015

201 COURT ST, BROCKTON, MA 02302(508) 941-7000 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 7, 2026, Jul 22, 2021, Jul 12, 2021 (3 updates tracked since 2021).

On this page

About Sara Kubetin Rd NPPES

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

SARA KUBETIN RD (NPI 1164890935) is an individual dietitian, registered in Brockton, Massachusetts, licensed in Massachusetts (3830) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1164890935

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameSARA KUBETINCredential: RD

Location Address201 COURT STBrockton, MA 02302-4601

Mailing Address130 Quincy Ave Fl 2Brockton, MA 02302-2803 · (508) 941-7250

Phone(508) 941-7000

Sole ProprietorNo

Enumeration DateSeptember 9, 2015

Last NPPES UpdateOctober 7, 20263 updates tracked since enumeration

NPPES CertifiedOctober 7, 2026

✔ NPI 1164890935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Licenses✔ Licensed in MA · 3830✔ Licensed in MA · 86014100

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

201 COURT ST, Brockton, MA 02302

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara Kubetin Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

Medicare enrollment records show Sara Kubetin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Signature Healthcare Medical Group Inc

3.2 mi

Internal Medicine

110 LIBERTY ST
Brockton, MA 02301

Reassigned Medicare billing, Massachusetts enrollment
409 clinicians in this Medicare group

NPI 1508804949 (508) 894-0400

Alisonrd LLC

14 mi

Medical Specialty

3 ALLIED DR STE 303
Dedham, MA 02026

Reassigned Medicare billing, Massachusetts enrollment
5 clinicians in this Medicare group

NPI 1891221834 (617) 645-4819

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kubetin's NPI number?

The NPI number for Sara Kubetin is 1164890935. It was assigned to this individual provider in the NPPES registry on September 9, 2015.

Where is Sara Kubetin located?

Sara Kubetin practices at 201 Court St, Brockton, MA 02302. The listed phone number is (508) 941-7000.

What is Sara Kubetin's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Sara Kubetin enrolled in Medicare?

Yes. Sara Kubetin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sara Kubetin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Kubetin reassigns Medicare benefits to 2 organizations: Signature Healthcare Medical Group Inc (Brockton, MA) and Alisonrd LLC (Dedham, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sara Kubetin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sara Kubetin was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.