Individual provider Active NPI

Sarah Fagus

  • Nutrition Education Nutritionist
  • Surprise, AZ
National Provider Identifier
1730804568
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
Practice address
14719 W Grand Ave
Surprise, AZ 85374-7203
Phone
(623) 471-9355
Fax
(623) 213-8523
NPI assigned
Oct 4, 2022
Last updated
Oct 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X Primary

Addresses

Primary practice location

14719 W Grand Ave
Surprise, AZ 85374-7203

Mailing address

14719 W Grand Ave
Surprise, AZ 85374-7203
Phone (623) 471-9355

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.sunhealthwellness.org/
CONNECT URL https://www.sunhealthwellness.org/

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

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1730804568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14719 W GRAND AVE",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747203",
            "telephone_number": "623-471-9355",
            "fax_number": "623-213-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14719 W GRAND AVE",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747203",
            "telephone_number": "623-471-9355",
            "fax_number": "623-213-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGUS",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.sunhealthwellness.org/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "14719 W Grand Ave",
            "city": "Surprise",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853747203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.sunhealthwellness.org/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "14719 W Grand Ave",
            "city": "Surprise",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853747203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.