Organization Active NPI

Sunrise Nutrition Consulting LLC

  • Clinic/Center
  • Hesston, KS
National Provider Identifier
1275195992
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SUNRISE NUTRITION CONSULTING LLC
Practice address
359 N Old US Highway 81
Hesston, KS 67062-9406
Phone
(316) 217-2984
Fax
(620) 869-9032
NPI assigned
Jul 2, 2019
Last updated
Jul 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Authorized official

Name
Paula Miller, RDNPI 1548463128
Title
Registered Dietitian
Phone
(316) 217-2984

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

359 N Old US Highway 81
Hesston, KS 67062-9406

Mailing address

109 E Pine St
Hesston, KS 67062-9055
Phone (316) 217-2984

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paula@sunrisenutritionconsulting.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201203000550 KS Part B Supplier - Clinic/Group Practice 9032520606 Receives reassigned benefits from 1 practitioner
Practice locations: Newton, KS

National Provider Directory

National Provider Directory

Locations

1023 Washington Rd
Ste F
Newton, KS 67114
Phone (316) 217-2984

Interoperability endpoints

  • Direct secure messaging: paula@sunrisenutritionconsulting.com

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1275195992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E PINE ST",
            "city": "HESSTON",
            "state": "KS",
            "postal_code": "670629055",
            "telephone_number": "316-217-2984",
            "fax_number": "620-869-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 N OLD US HIGHWAY 81",
            "city": "HESSTON",
            "state": "KS",
            "postal_code": "670629406",
            "telephone_number": "316-217-2984",
            "fax_number": "620-869-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE NUTRITION CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "316-217-2984",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paula@sunrisenutritionconsulting.com",
            "affiliation": "N",
            "address_1": "359 N Old US Highway 81",
            "city": "Hesston",
            "state": "KS",
            "country_code": "US",
            "postal_code": "670629406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hesston, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.

Verify at the official NPI Registry.