Active NPI
Sarah Widener, RD
- Registered Dietitian
- Bowling Green, KY
National Provider Identifier
1073701884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- KY-1695
- Practice address
- 843 Fairview Ave
Suite 6
Bowling Green, KY 42101-4914 - Phone
- (270) 901-3412
- Fax
- (270) 901-3413
- NPI assigned
- Oct 5, 2007
- Last updated
- Dec 10, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | KY-1695 | KY | Primary |
Addresses
Primary practice location
843 Fairview Ave
Suite 6
Bowling Green, KY 42101-4914
Mailing address
843 Fairview Ave
Suite 6
Bowling Green, KY 42101-4914
Phone (270) 901-3412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-1695 | KY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TFC Physical Therapy, PLLC | Past | Accepting new patients | |
| Total Fitness Connection,PLLC | Past | Accepting new patients | |
| MNT, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Medical Center Nutrition Therapy Program
- Registered Dietitian
- Bowling Green, KY
- NPI 1831112507
-
- Specialist
- Bowling Green, KY
- NPI 1164620316
-
- Specialist
- Bowling Green, KY
- NPI 1336241538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260403200000",
"number": "1073701884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "843 FAIRVIEW AVE",
"address_2": "SUITE 6",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421014914",
"telephone_number": "270-901-3412",
"fax_number": "270-901-3413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "843 FAIRVIEW AVE",
"address_2": "SUITE 6",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421014914",
"telephone_number": "270-901-3412",
"fax_number": "270-901-3413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIDENER",
"first_name": "SARAH",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-05",
"last_updated": "2009-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "KY-1695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.