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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SARA MALLINCKRODT, RD

Active Sole Proprietor

SARA MALLINCKRODT, RD is a Registered Dietitian healthcare provider located in JEFFERSON CITY, Missouri. NPI 1275417248 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · JEFFERSON CITY, MO

Registration Details

NPI Number
1275417248
Provider Type
Individual
Gender
Female
NPI Issued
Aug 4, 2025 (1.0158154210252 yrs)
Last Updated
Aug 4, 2025
Sole Proprietor
Yes

Practice Information

Address
1606 NORTHWAY DR
JEFFERSON CITY, MO, 651090489
Browse MO providers · Browse ZIP 65109
Phone
6365380020
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in JEFFERSON CITY, MO

Name Credential NPI
GINGER R MEYER R.D., L.D. 1417042532
LISA L FINLEY R.D., L.D. 1720173842
MRS. TINA R WOOD MS, RD, LD 1285848465
NELSON LEIGH KENNER RD, CDE 1891900072
ANNIE MARIE NELSON RD 1780867085
SARAH JEANNE EBER LD RD 1457646754
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.