Active NPI
Sarah Pavelka, RD
- Metabolic Nutrition Registered Dietitian
- Savage, MN
National Provider Identifier
1073085437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- 4009
- Practice address
- 8634 Carriage Hill CT
Savage, MN 55378-2373 - Phone
- (952) 221-4682
- NPI assigned
- Dec 26, 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 |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 4009 | MN | Primary |
Addresses
Primary practice location
8634 Carriage Hill CT
Savage, MN 55378-2373
Mailing address
8634 Carriage Hill CT
Savage, MN 55378-2373
Phone (952) 221-4682
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86052443 | Other | COMMISSION ON DIETETIC REGISTRATION | |
| 4009 | Other | MN | BOARD OF DIETETICS AND NUTRITION |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545782400000",
"number": "1073085437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8634 CARRIAGE HILL CT",
"city": "SAVAGE",
"state": "MN",
"postal_code": "553782373",
"telephone_number": "952-221-4682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8634 CARRIAGE HILL CT",
"city": "SAVAGE",
"state": "MN",
"postal_code": "553782373",
"telephone_number": "952-221-4682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVELKA",
"first_name": "SARAH",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-26",
"last_updated": "2018-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "MN",
"license": "4009",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION",
"identifier": "86052443",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF DIETETICS AND NUTRITION",
"identifier": "4009",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savage, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.