Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sarah Gehring Provence, MS, RD, LDN, CDCES

Individual provider Registered Dietitian · NPI 1003476417

Sarah Gehring Provence, MS, RD, LDN, CDCES is a Registered Dietitian OR Nutrition Professional in Southaven, Mississippi. Qualified in 2013, 13 years ago. Practices with Nourish, Inc, a 277-clinician group and accepts Medicare assignment. Licensed in Mississippi and Tennessee.

Years since qualifying
13
Licensed in
MS, TN
In the registry since
2019
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

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Practice location Address checks out

2150 Dickens Place Dr
Southaven, MS 38672-7152
Phone: (901) 387-7314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence D1643 (MS)
Pediatric Nutrition Registered Dietitian Taxonomy 133VN1004X · Licence 2733 (TN)

Record details

NPI number1003476417
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , LDN , CDCES
Sole proprietorNo
NPI enumeratedJune 18, 2019
Last updated in NPPESDecember 14, 2023
Certification dateDecember 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Nourish, Inc. — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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