Sara Stover Wilfong, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

2006 Health Campus Dr
Harrisonburg, VA 22801-8679

Phone

(540) 689-5800

Fax

(540) 689-5801

NPI assigned

Nov 10, 2008

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 identifiers 2

Other names 1

• Miss Sara Katelyn Stover Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1053565671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1430",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228031430",
            "telephone_number": "540-564-5636",
            "fax_number": "540-433-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 HEALTH CAMPUS DR",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018679",
            "telephone_number": "540-689-5800",
            "fax_number": "540-689-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILFONG",
        "first_name": "SARA",
        "middle_name": "STOVER",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RMH GROUP NPI",
            "identifier": "1417027608",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RMH MEDICARE GROUP PTAN",
            "identifier": "C05754",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "STOVER",
            "middle_name": "KATELYN",
            "prefix": "MISS",
            "credential": "R.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebeca Susan Wickline, M.A.,SLP
• Kenneth A Widra, MD
• Matthew Wikswo, LPC
• Michael W Wilburn, MPT
• Wildflower Counseling and Wellness, LLC
• Katelyn Ciara Lambert Wilkins, NP
• Jessica Nicole Williams-Chase
• Emma Lynn Williams, COTA/L
• Erin A Williams, LPC
• Jason Burke Williams, MD

• All providers in Harrisonburg, VA
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.