Individual provider Active NPI

Sara Jo O'Tool, R.D., L.D.

  • Registered Dietitian
  • Mason City, IA
National Provider Identifier
1699132449
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
081166 Issued in IA
Practice address
2400 4TH St SW
Mason City, IA 50401-4664
Phone
(641) 424-2605
NPI assigned
Jan 25, 2016
Last updated
May 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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 081166 IA Primary

Addresses

Primary practice location

2400 4TH St SW
Mason City, IA 50401-4664

Mailing address

208 Wesley Dr
Clear Lake, IA 50428-1357
Phone (515) 310-0155

Other names 1

  • Sara Jo Hanson Former name

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

LicenseStateTypeSpecialty
081166IAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1699132449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 WESLEY DR",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504281357",
            "telephone_number": "515-310-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 4TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504014664",
            "telephone_number": "641-424-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'TOOL",
        "first_name": "SARA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "081166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "HANSON",
            "middle_name": "JO",
            "credential": "R.D., L.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mason City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.

Verify at the official NPI Registry.