Sarah M Ashbrook, RD
Individual provider Active NPI Registered Dietitian · La Crosse, WI
NPI 1972073302 · NPPES record last updated Mar 4, 2024
Key facts
- NPI
- 1972073302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 3026-29 (WI)
- Practice address
- 1836 South Ave
La Crosse, WI 54601-5429 - Phone
- (608) 782-7300
- NPI assigned
- Nov 28, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190418001320 | WI | Practitioner - Registered Dietitian Or Nutrition Professional | 8729329891 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3026-29 | WI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gundersen Clinic LTD | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center Inc | Current |
Accepting new patients |
Locations
112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811
402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287
505 Gopher Dr
Tomah, WI 54660
Phone (608) 372-2181
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3026-29 | WI | Yes |
Addresses
Primary practice location
1836 South Ave
La Crosse, WI 54601-5429
Mailing address
1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300
Other practice location 1
611 N Saint Joseph Ave
Marshfield, WI 54449-1832
Phone (715) 387-7176
Other names
- Sarah M Brandt
Other providers in La Crosse, WI
- Christina Marie Arostegui
- Megan Jean Arth
- Elizabeth Lynn Aschenbrenner
- Rachael Marie Ashbeck
- Sara J Ashbeck
- Alexis Sue Ashe
- Cole Brian Asleson
- Arnold A Asp
- Kevin Francis Aspenson
- Barbara Assel
All providers in La Crosse, WI · Registered Dietitian in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.