Active NPI
Sarah Bowersox, RD, LDN
- Registered Dietitian
- Fayetteville, NC
National Provider Identifier
1669921805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L004639
- Practice address
- 1601 Owen Dr
Fayetteville, NC 28304-3425 - Phone
- (910) 678-0100
- Fax
- (916) 678-1115
- NPI assigned
- Sep 29, 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 | L004639 | NC | Primary |
Addresses
Primary practice location
1601 Owen Dr
Fayetteville, NC 28304-3425
Mailing address
1601 Owen Dr
Fayetteville, NC 28304-3425
Phone (910) 678-0100
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 |
|---|---|---|---|
| L004639 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475107200000",
"number": "1669921805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043425",
"telephone_number": "910-678-0100",
"fax_number": "916-678-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043425",
"telephone_number": "910-678-0100",
"fax_number": "916-678-1115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERSOX",
"first_name": "SARAH",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-29",
"last_updated": "2016-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L004639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.