Individual provider Active NPI

Sara Kerr

  • Registered Dietitian
  • Cornelius, OR
National Provider Identifier
1043712482
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
1525 S 10TH Ter
Cornelius, OR 97113-7441
Phone
(971) 732-6851
NPI assigned
Mar 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

1525 S 10TH Ter
Cornelius, OR 97113-7441

Mailing address

1525 S 10TH Ter
Cornelius, OR 97113-7441

Other practice location 1

5801 NE Cornelius Pass Rd
Hillsboro, OR 97124-9370
Phone (971) 762-1144

Other practice location 2

5801 NE Cornelius Pass Rd
Hillsboro, OR 97124-9370
Phone (971) 762-1144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1043712482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 S 10TH TER",
            "city": "CORNELIUS",
            "state": "OR",
            "postal_code": "971137441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 S 10TH TER",
            "city": "CORNELIUS",
            "state": "OR",
            "postal_code": "971137441",
            "telephone_number": "971-732-6851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5801 NE Cornelius Pass Rd",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971249370",
            "country_code": "US",
            "telephone_number": "971-762-1144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5801 NE Cornelius Pass Rd",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971249370",
            "country_code": "US",
            "telephone_number": "971-762-1144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERR",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.