Active NPI
Sara Kerr
- Registered Dietitian
- Cornelius, OR
National Provider Identifier
1043712482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.