Active NPI
Sarah Indergaard, RD
- Registered Dietitian
- Saint Paul, MN
National Provider Identifier
1235599853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3670
- Practice address
- 2265 Como Ave
Saint Paul, MN 55108-1737 - Phone
- (651) 645-5323
- NPI assigned
- Feb 24, 2016
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3670 | MN | Primary |
Addresses
Primary practice location
2265 Como Ave
Saint Paul, MN 55108-1737
Mailing address
3900 Alabama Ave S
St Louis Park, MN 55416-2819
Phone (402) 658-6120
Other names 1
- Sarah Coulter
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sindergaard389715@excellian.direct.allina.com | Direct |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3670 | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1235599853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 ALABAMA AVE S",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554162819",
"telephone_number": "402-658-6120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2265 COMO AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551081737",
"telephone_number": "651-645-5323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INDERGAARD",
"first_name": "SARAH",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-24",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "3670",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sindergaard389715@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "280 Smith Ave N Ste 700",
"city": "Saint Paul",
"state": "MN",
"country_code": "US",
"postal_code": "551022972",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SARAH",
"last_name": "COULTER",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.