Provider Demographics
NPI:1013896273
Name:HAACK, SARAH ALEXIS (RD, MS)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ALEXIS
Last Name:HAACK
Suffix:
Gender:F
Credentials:RD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3312 O ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-7642
Mailing Address - Country:US
Mailing Address - Phone:804-514-0658
Mailing Address - Fax:
Practice Address - Street 1:3312 O ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-7642
Practice Address - Country:US
Practice Address - Phone:804-514-0658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-30
Last Update Date:2025-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered