Sara Mariko Garretson, RD LD CDCES

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

127-LD Issued in HI

Practice address

91-039 Popoi PL
Ewa Beach, HI 96706-2934

Phone

(808) 636-5630

NPI assigned

Oct 11, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sara Mariko Carlson Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1043760333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-039 POPOI PL",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062934",
            "telephone_number": "808-636-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-039 POPOI PL",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062934",
            "telephone_number": "808-636-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETSON",
        "first_name": "SARA",
        "middle_name": "MARIKO",
        "name_prefix": "Mrs.",
        "credential": "RD LD CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-11",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "HI",
            "license": "127-LD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "CARLSON",
            "middle_name": "MARIKO",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vivian Gamiao
• Flordeliza G. Ganiron
• Jadean Ganitano
• Debra Garcia
• Arlene Salvador Garo
• Gary T Oda DDS
• Darlani Frances Nazarino Gaspar
• Mestisa C Gass
• Alexious Mae Gayer
• Kathryn Laura Gayhart, NP

• Registered Dietitian in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Registered Dietitian in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.