Active NPI
Sara Rundhaug
- Home Health Registered Nurse
- MC Farland, WI
National Provider Identifier
1326671033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 201444-30
- Practice address
- 4815 Bautista Dr
MC Farland, WI 53558-8737 - Phone
- (920) 917-9148
- NPI assigned
- Feb 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 201444-30 | WI | Primary |
Addresses
Primary practice location
4815 Bautista Dr
MC Farland, WI 53558-8737
Mailing address
114 Buechner Cir
Mount Horeb, WI 53572-3300
Phone (920) 917-9148
Other practice location 1
114 Buechner Cir
Mount Horeb, WI 53572-3300
Phone (920) 917-9148
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201444-30 | WI | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1326671033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 BUECHNER CIR",
"city": "MOUNT HOREB",
"state": "WI",
"postal_code": "535723300",
"telephone_number": "920-917-9148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 BAUTISTA DR",
"city": "MC FARLAND",
"state": "WI",
"postal_code": "535588737",
"telephone_number": "920-917-9148"
}
],
"practiceLocations": [
{
"address_1": "114 Buechner Cir",
"address_purpose": "LOCATION",
"city": "Mount Horeb",
"state": "WI",
"postal_code": "535723300",
"country_code": "US",
"telephone_number": "920-917-9148",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUNDHAUG",
"first_name": "SARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-20",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "WI",
"license": "201444-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in MC Farland, WI
- Anthony Daniel Peterangelo, R.PH.
- Melanie Grace Petersen, OTR/L
- Quick Fix After Hours Chiropractic Care, LLC
- Debra L Raasch, APNP
- Carly Rae Kazmerzak Ramthun, MA, MT-BC, CTP
- Kimberly Anne Schmidt, M.S.
- Laura B Schmuhl
- School District of McFarland
- Morgan Elizabeth Schuchardt, M.S. CCC-SLP
- Chelsea Silvers, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.