Active NPI
Sarah Margaret Carson Brunelle
- Registered Dietitian
- Sacramento, CA
National Provider Identifier
1457809725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1079795
- Practice address
- 200 Penhow Cir
Sacramento, CA 95834-2582 - Phone
- (970) 231-1688
- NPI assigned
- Sep 15, 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 | 1079795 | ID | Primary |
Addresses
Primary practice location
200 Penhow Cir
Sacramento, CA 95834-2582
Mailing address
200 Penhow Cir
Sacramento, CA 95834-2582
Phone (970) 231-1688
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 |
|---|---|---|---|
| D-1073 | ID | MD | General Practice Dentistry |
| 1079795 | ID | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473897600000",
"number": "1457809725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 PENHOW CIR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958342582",
"telephone_number": "970-231-1688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PENHOW CIR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958342582",
"telephone_number": "970-231-1688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNELLE",
"first_name": "SARAH",
"middle_name": "MARGARET CARSON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-15",
"last_updated": "2016-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ID",
"license": "1079795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.