Active NPI
Sara Suardini
- Registered Dietitian
- Centennial, CO
National Provider Identifier
1639459787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1064727
- Practice address
- 6767 S Spruce St
Centennial, CO 80112-1283 - Phone
- (303) 779-9355
- NPI assigned
- Aug 22, 2011
- 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 | 1064727 | CO | Primary |
Addresses
Primary practice location
6767 S Spruce St
Centennial, CO 80112-1283
Mailing address
6767 S Spruce St
Centennial, CO 80112-1283
Phone (303) 779-9355
Other names 1
- Sara Grzelak
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 |
|---|---|---|---|
| 1064727 | CO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1639459787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6767 S SPRUCE ST",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801121283",
"telephone_number": "303-779-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6767 S SPRUCE ST",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801121283",
"telephone_number": "303-779-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUARDINI",
"first_name": "SARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-22",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "1064727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "GRZELAK",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.