Sara Wilkinson Foreman, RD, LDN, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L00160 Issued in NC

Practice address

2108 Rivershore Rd
Elizabeth City, NC 27909-6214

Phone

(252) 331-2716

NPI assigned

Feb 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Albemarle Regional Health Services

  • State or Local Public Health Clinic/Center
  • Elizabeth City, NC
  • NPI 1508942848
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821137480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 RIVERSHORE RD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279096214",
            "telephone_number": "252-331-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 RIVERSHORE RD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279096214",
            "telephone_number": "252-331-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOREMAN",
        "first_name": "SARA",
        "middle_name": "WILKINSON",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L00160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maxzella S. Fourqurean, LCSW
• Patricia Ann Young Franklin, BCBA
• Kristen Michelle Friend, MA
• Marion Everett Fritz, RPH

• All providers in Elizabeth City, NC
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.