Individual provider Active NPI

Sarah Sweet Pallotto, RDN

  • Registered Dietitian
  • Kailua, HI
National Provider Identifier
1417555632
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
254-LD Issued in HI
Practice address
1892 Lawrence Rd
Kailua, HI 96734-4838
Phone
(619) 862-4705
NPI assigned
Oct 9, 2020
Last updated
May 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 254-LD HI Primary

Addresses

Primary practice location

1892 Lawrence Rd
Kailua, HI 96734-4838

Mailing address

1892 Lawrence Rd
Kailua, HI 96734-4838
Phone (619) 862-4705

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201125001776 HI Practitioner - Registered Dietitian Or Nutrition Professional 2961813878 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Queens Medical Center CurrentSince Oct 1, 2020 Accepting new patients
The Queen's Medical Center CurrentSince Oct 1, 2020 Accepting new patients

Locations

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1329 Lusitana St
Ste 407
Honolulu, HI 96813
Phone (808) 533-3368

1380 Lusitana St
Ste 608
Honolulu, HI 96813
Phone (808) 532-0315

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1417555632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1892 LAWRENCE RD",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344838",
            "telephone_number": "619-862-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1892 LAWRENCE RD",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344838",
            "telephone_number": "619-862-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLOTTO",
        "first_name": "SARAH",
        "middle_name": "SWEET",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "HI",
            "license": "254-LD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.