Individual provider Active NPI

Sara Zook, RD, CD

  • Registered Dietitian
  • Columbus, WI
National Provider Identifier
1922372499
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1781-29 Issued in WI
Practice address
1515 Park Ave
Columbus Community Hospital, Nutrition Services
Columbus, WI 53925-1618
Phone
(920) 623-1545
Fax
(920) 623-1250
NPI assigned
Mar 1, 2012
Last updated
Jul 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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 1781-29 WI Primary

Addresses

Primary practice location

1515 Park Ave
Columbus Community Hospital, Nutrition Services
Columbus, WI 53925-1618

Mailing address

1515 Park Ave
Columbus Community Hospital
Columbus, WI 53925-1618
Phone (920) 623-1545

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121203000149 WI Practitioner - Registered Dietitian Or Nutrition Professional 6709038474 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1781WIMDAddiction (Substance Use Disorder) Counselor
1781-29WIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Ridge Health, Inc. Current Accepting new patients
Prairie Ridge Health Inc. CurrentSince Apr 17, 2017 Accepting new patients
Prairie Ridge Health, Inc. CurrentSince Apr 17, 2017 Accepting new patients

Locations

1515 Park Ave
Columbus, WI 53925
Phone (920) 623-1200

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1922372499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 PARK AVE",
            "address_2": "COLUMBUS COMMUNITY HOSPITAL",
            "city": "COLUMBUS",
            "state": "WI",
            "postal_code": "539251618",
            "telephone_number": "920-623-1545",
            "fax_number": "920-623-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 PARK AVE",
            "address_2": "COLUMBUS COMMUNITY HOSPITAL, NUTRITION SERVICES",
            "city": "COLUMBUS",
            "state": "WI",
            "postal_code": "539251618",
            "telephone_number": "920-623-1545",
            "fax_number": "920-623-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOOK",
        "first_name": "SARA",
        "name_prefix": "Mrs.",
        "credential": "RD, CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "1781-29",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.

Verify at the official NPI Registry.