Sara Moldenhauer

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

N3661 County Road K
Jefferson, WI 53549-9418

Phone

(920) 220-0595

NPI assigned

Oct 8, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1699146209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N3661 COUNTY ROAD K",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535499418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N3661 COUNTY ROAD K",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535499418",
            "telephone_number": "920-220-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLDENHAUER",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Miller
• Kimberly Miller, LCSW, SAC-IT
• Molly Lynn Miller
• John Mock
• Melinda Suzanne Moe, MSW, APSW
• Suzanne A Monda, MSW
• Melissa Anne Mondragon, RN
• Ronalee Ann Monroe, RN
• Christine Mary Moreira, R.N.
• Mueller Drugs, Inc.

• Athletic Trainer in Jefferson, WI
• Providers in Jefferson, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.