Individual provider Active NPI

Sarah Margaret Taylor

  • Registered Dietitian
  • Happy Valley, OR
National Provider Identifier
1285196634
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD-D10234449 Issued in OR
Practice address
12117 SE Stevens Road
Happy Valley, OR 97086
Phone
(503) 659-4988
NPI assigned
Apr 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Registered Dietitian 133V00000X LD-D10234449 OR Primary

Addresses

Primary practice location

12117 SE Stevens Road
Happy Valley, OR 97086

Mailing address

PO Box 22075
Milwaukie, OR 97269-2075
Phone (503) 659-4988

Other practice location 1

14600 NW Cornell Rd
Portland, OR 97229-5442
Phone (503) 645-3581

Other practice location 2

10024 SE 32nd Ave
Milwaukie, OR 97222-6514
Phone (503) 659-4988

Other names 1

  • Sarah Margaret Lundeen Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231214002019 OR Practitioner - Registered Dietitian Or Nutrition Professional 6305295486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
University of New England, College of Osteo Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Primary Care Group PCGroup PAC ID 0244125052, 44 clinicians

Practice addresses (Care Compare)

3033 SE Monroe St
Milwaukie, OR 97222-6636
Phone (503) 659-4988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD-D10234449ORMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Primary Care Group PC Current Accepting new patients
Northwest Primary Care Group, PC CurrentSince Jan 12, 2025 Accepting new patients
Northwest Primary Care Group, PC Dietitian, Registered CurrentSince Oct 2, 2023 Accepting new patients
Northwest Primary Care Group PC Dietitian, Registered Past Accepting new patients

Locations

12119 SE Stevens Ct
Portland, OR 97086
Phone (503) 353-1278

10024 SE 32nd Ave
Portland, OR 97222
Phone (503) 513-8693

3033 SE Monroe St
Portland, OR 97222
Phone (503) 216-5380

Interoperability endpoints

  • Direct secure messaging: sarah.lundeen.1@30939.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1285196634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22075",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972692075",
            "telephone_number": "503-659-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12117 SE STEVENS ROAD",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "97086",
            "telephone_number": "503-659-4988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14600 NW Cornell Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972295442",
            "country_code": "US",
            "telephone_number": "503-645-3581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10024 SE 32nd Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukie",
            "state": "OR",
            "postal_code": "972226514",
            "country_code": "US",
            "telephone_number": "503-659-4988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SARAH",
        "middle_name": "MARGARET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "LD-D10234449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "LUNDEEN",
            "middle_name": "MARGARET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Happy Valley, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.