Individual provider Active NPI

Sarah L. Conca, M.P.A., R.D., L.D.N.

  • Registered Dietitian
  • Allston, MA
National Provider Identifier
1902108384
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3018 Issued in MA
Practice address
1156 Commonwealth Ave Apt 39
Allston, MA 02134-4725
Phone
(617) 487-5457
NPI assigned
Nov 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3018 MA Primary

Addresses

Primary practice location

1156 Commonwealth Ave Apt 39
Allston, MA 02134-4725

Mailing address

1156 Commonwealth Ave Apt 39
Allston, MA 02134-4725
Phone (617) 487-5457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190912001644 MA Practitioner - Registered Dietitian Or Nutrition Professional 9436488665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
New York University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uphams Corner Health Committee IncGroup PAC ID 4284645086, 26 clinicians

Practice addresses (Care Compare)

500 Columbia Rd
Dorchester, MA 02125-2322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3018MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Upham'S Corner Health Committee, Inc. CurrentSince Sep 17, 2019 Accepting new patients

Locations

500 Columbia Rd
Uphams Corner, MA 02125
Phone (617) 287-8000

415 Columbia Rd
Uphams Corner, MA 02125
Phone (617) 287-8000

Interoperability endpoints

  • Direct secure messaging: sconca180119@direct.ochin.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1902108384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 COMMONWEALTH AVE APT 39",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021344725",
            "telephone_number": "617-487-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 COMMONWEALTH AVE APT 39",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021344725",
            "telephone_number": "617-487-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCA",
        "first_name": "SARAH",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "M.P.A., R.D., L.D.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "3018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.