Sara Sanner Weaver, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

805897 Issued in CA

Practice address

111 Aragon Blvd
San Mateo, CA 94402

Phone

(415) 515-2342

NPI assigned

Oct 3, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1174618649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ARAGON BLVD",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022315",
            "telephone_number": "415-515-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ARAGON BLVD",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "94402",
            "telephone_number": "415-515-2342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2235 Hayes Street 5th floor",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941171082",
            "country_code": "US",
            "telephone_number": "415-750-5513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "SARA",
        "middle_name": "SANNER",
        "name_prefix": "Mrs.",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "805897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Watters, PHD
• Thomas Alan Watters, M.D.
• Lisa Christine Waxman
• We Assist LLC
• Bryan Weathers, HIS
• Shelbi Weaver
• Sophia Marie Weaver
• Christina Paula Webb, LCSW
• Kyla Webb
• Peter Webb, M.D.

• Registered Dietitian in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.

Verify at the official NPI Registry.