Active NPI
Sara Keough, LDN, CNS
- Nutritionist
- Bethesda, MD
National Provider Identifier
1740724384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- DX4118
- Practice address
- 5415 W Cedar LN
Bethesda, MD 20814-1515 - Phone
- (303) 564-8865
- NPI assigned
- Dec 16, 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | DX4118 | MD | Primary |
Addresses
Primary practice location
5415 W Cedar LN
Bethesda, MD 20814-1515
Mailing address
5415 W Cedar LN
Bethesda, MD 20814-1515
Phone (303) 564-8865
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)
- Not enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DX4118 | MD | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481846400000",
"number": "1740724384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5415 W CEDAR LN",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208141515",
"telephone_number": "303-564-8865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5415 W CEDAR LN",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208141515",
"telephone_number": "303-564-8865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEOUGH",
"first_name": "SARA",
"credential": "LDN, CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-16",
"last_updated": "2016-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "MD",
"license": "DX4118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.