Active NPI
Sarah M Wills I, RD,LD
- Registered Dietitian
- Fosston, MN
National Provider Identifier
1841967213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4539
- Practice address
- 900 Hilligoss Blvd SE
Fosston, MN 56542-1542 - Phone
- (218) 435-1133
- NPI assigned
- Aug 24, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1306 | ND | |
| Registered Dietitian | 133V00000X | 4539 | MN | Primary |
Addresses
Primary practice location
900 Hilligoss Blvd SE
Fosston, MN 56542-1542
Mailing address
1702 University Dr S
Fargo, ND 58103-4940
Phone (701) 364-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4539 | MN | MD | Marriage & Family Therapist |
| 1306 | ND | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Mary'S Regional Health Center | Current | Accepting new patients | |
| St Mary'S Regional Health Center | Current | Accepting new patients | |
| St. Marys Regional Health Center | Current | Accepting new patients | |
| First Care Medical Services | Current | Accepting new patients |
Locations
1027 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 844-2300
900 Hilligoss Blvd SE
Fosston, MN 56542
Phone (218) 435-1133
705 Pleasant Ave S
Park Rapids, MN 56470
Phone (218) 732-2800
1702 University Dr S
Fargo, ND 58103
Phone (701) 364-4222
Organizations & group practices 4
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.
-
- Critical Access Hospital Clinic/Center
- Fosston, MN
- NPI 1073638565
-
- Rural Acute Care Hospital
- Detroit Lakes, MN
- NPI 1679561088
-
- Rural Health Clinic/Center
- Walker, MN
- NPI 1558607408
-
- Rural Health Clinic/Center
- Frazee, MN
- NPI 1902364482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1841967213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1702 UNIVERSITY DR S",
"city": "FARGO",
"state": "ND",
"postal_code": "581034940",
"telephone_number": "701-364-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 HILLIGOSS BLVD SE",
"city": "FOSSTON",
"state": "MN",
"postal_code": "565421542",
"telephone_number": "218-435-1133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLS",
"first_name": "SARAH",
"middle_name": "M",
"name_suffix": "I",
"credential": "RD,LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-24",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ND",
"license": "1306",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "4539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fosston, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.