Sara Piecukonis, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86106571 Issued in CA

Practice address

428 Harrison Ave # 101
Claremont, CA 91711-4605

Phone

(909) 624-7070

NPI assigned

May 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1639791593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 LEHIGH DR",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917115447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 HARRISON AVE # 101",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114605",
            "telephone_number": "909-624-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIECUKONIS",
        "first_name": "SARA",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86106571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sjp",
            "affiliation": "N",
            "endpointDescription": "identifier",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "428 Harrison Ave # 101",
            "city": "Claremont",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917114605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Registered Dietitian in Claremont, CA
• Providers in Claremont, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.