Sara Peternell, MNT, BCHN

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

6650 W 44TH Ave
Wheat Ridge, CO 80033-4750

Phone

(720) 810-7027

NPI assigned

Aug 11, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1164197109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 NEWTON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113644",
            "telephone_number": "720-810-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 W 44TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334750",
            "telephone_number": "720-810-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERNELL",
        "first_name": "SARA",
        "credential": "MNT, BCHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://sarapeternell.practicebetter.io/",
            "affiliation": "N",
            "address_1": "6650 W 44th Ave",
            "city": "Wheat Ridge",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800334750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrew Steven Perry
• Nancy Susan Perry, L.C.S.W.
• Tyler W Persson, O.D.
• Lawrence M Pertcheck, MD
• Lauren Faye Petasne, ARNP
• Jennifer Petersen, LCSW
• Alexia M Peterson
• Ashley Peterson
• Katherine R Peterson, N.D.
• Kirby Peterson

• Nutritionist in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Nutritionist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.