Sara Deann Katuzienski, RN, CDCES

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

28104845A Issued in IN

Practice address

2651 E Discovery Pkwy RM 4077
Bloomington, IN 47408-9059

Phone

(623) 850-6068

NPI assigned

Apr 21, 2022

Last updated

Apr 21, 2022By the provider in NPPES

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1962146555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8577 S GORE RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474038806",
            "telephone_number": "623-850-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 E DISCOVERY PKWY RM 4077",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474089059",
            "telephone_number": "623-850-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATUZIENSKI",
        "first_name": "SARA",
        "middle_name": "DEANN",
        "name_prefix": "Mrs.",
        "credential": "RN, CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "IN",
            "license": "28104845A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Knight, LMHC, LLC
• Celine Kassab
• Mallary M Kassel, RBT
• Jason Kasza, M.D.
• Kevin Joseph Kathman, ORT
• Hadassah Katz, CNM, CPM
• Hideki Kawanishi, M.D.
• Keisuke Kawata, PHD, ATC
• Delyn Kazdan, MSED
• Ellen Hardin Kazlas, M.S.W.

• Diabetes Educator Registered Nurse in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Diabetes Educator Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.