Individual provider Active NPI

Sara Elizabeth Masker, RDN

  • Registered Dietitian
  • Denton, MD
National Provider Identifier
1063269033
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX6754 Issued in MD
Practice address
410 Lockerman St
Denton, MD 21629-1048
Phone
(410) 479-3075
Fax
(833) 914-0407
NPI assigned
May 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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 DX6754 MD Primary

Addresses

Primary practice location

410 Lockerman St
Denton, MD 21629-1048

Mailing address

410 Lockerman St
Denton, MD 21629-1048
Phone (410) 479-3075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240907000031 MD Practitioner - Registered Dietitian Or Nutrition Professional 0749720548 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DX6754MDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Choptank Community Health System Inc CurrentSince Jul 8, 2024 Accepting new patients
Choptank Community Health System Inc CurrentSince Jul 8, 2024 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

503 Muir St
Ste A
Cambridge, MD 21613
Phone (410) 228-4045

301 Randolph St
Denton, MD 21629
Phone (410) 479-8346

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1063269033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 LOCKERMAN ST",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216291048",
            "telephone_number": "410-479-3075",
            "fax_number": "833-914-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 LOCKERMAN ST",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216291048",
            "telephone_number": "410-479-3075",
            "fax_number": "833-914-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASKER",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX6754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.