SARA MARIE ILLIG


Address: 2924 Brook Rd, Children's Hospital, Richmond, VA 23220-1215
Phone: 8043217474

SARA MARIE ILLIG (NPI# 1265661664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265661664
Entity Type Individual
Full Name SARA MARIE ILLIG
Other Name SARA MARIE SEAGO-BLANTON
Credential RD
Practice Address 2924 Brook Rd
Children's Hospital
Richmond
VA 23220-1215
Mailing Address 2924 Brook Rd
Children's Hospital Credentialing Dept
Richmond
VA 23220-1215
Practice Telephone 8043217474
Practice Fax Number 8042285210
Mailing Telephone 8043217474
Mailing Fax Number 8042285210
Enumeration Date 2009-07-07
Last Update Date 2009-07-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 966938 VA Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 004909976 05

Other Providers SARA ILLIG

NPI Name Taxonomy Address Enumeration
1609308394 Sara Illig Massage Therapist 3110 Manor Rd, Suite F, Austin, TX 78723-5702 2017-03-31

Office Location

Street Address 2924 BROOK RD
CHILDREN'S HOSPITAL
City RICHMOND
State VA
Zip Code 23220-1215

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841258589 Crippled Children's Hospital General Acute Care Hospital 2924 Brook Rd, Richmond, VA 23220-1215 2006-05-03
1104454271 Zoe Amanda Levenson Social Worker 2924 Brook Rd, Richmond, VA 23220-1215 2020-04-01
1053672469 Jessica Zinder Lynn Occupational Therapist 2924 Brook Rd, Children's Hospital of Richmond @ Vcu, Richmond, VA 23220-1215 2012-06-01
1164783585 Christine Johnson Popp Speech-Language Pathologist 2924 Brook Rd, Children's Hosp of Richmond @ Vcu Credentilaing Dept, Richmond, VA 23220-1215 2012-06-01
1114286366 Sangita Suresh Kling Dietitian, Registered 2924 Brook Rd, Children's Hospital of Richmond, Richmond, VA 23220-1215 2012-05-09
1831462233 Heather Ann Downing Physical Therapist 2924 Brook Rd, Children's Hospital of Richmond, Richmond, VA 23220-1215 2012-02-15
1376815118 Natalie Nicole Dmitrovich Speech-Language Pathologist 2924 Brook Rd, Children's Hospital of Richmond, Richmond, VA 23220-1215 2012-02-08
1386916443 Kori A. Harrow Speech-Language Pathologist 2924 Brook Rd, Children's Hospital of Richmond, Richmond, VA 23220-1215 2012-02-06
1497026678 Caitlin Boyle Trumbore Nurse Practitioner 2924 Brook Rd, Children's Hospital, Richmond, VA 23220-1215 2012-01-20
1528337623 Stephanie Ann Keen-pilecki Occupational Therapist 2924 Brook Rd, Children's Hospital of Richmond, Richmond, VA 23220-1215 2011-12-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538637855 Lindsay Kruger Health Educator 2 W Franklin Street, Richmond, VA 23220 2018-11-05
1578045993 Lauren Jernegan Physician Assistant 204 S Mulberry St, Richmond, VA 23220 2018-09-01
1699266312 Madhura Vikas Chitnavis Student in an Organized Health Care Education/Training Program Vcuhs Dept of Radiology, 980615, 1250 E Marshall St, Richmond, VA 23220 2018-05-29
1457842759 Alfred Vann II Social Worker 119 W. Leigh St., Richmond, VA 23220 2018-05-22
1598269193 Lilah Sol Health Educator Ymca, 2 W Franklin St., Richmond, VA 23220 2018-03-20
1568965531 Anne Danforth Health Educator 2 West Franklin Street, Downtown Ymca, Richmond, VA 23220 2018-03-15
1154840791 Constant Change Enterprises LLC Counselor 1805 Monument Avenue, Suite 208, Richmond, VA 23220 2017-09-14
1023534393 Diane H Brown Social Worker 2106 Rosewood Avenue, Richmond, VA 23220 2017-08-18
1831624295 Trent Roubleau Student in an Organized Health Care Education/Training Program 2114 Maplewood Ave, Richmond, VA 23220 2017-04-24
1679013312 Blair Fine Social Worker 2117 West Main Street, Richmond, VA 23220 2017-02-28
Find all providers in zip 23220

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841891876 Margaret Rawls Dietitian, Registered 4303 Smithdeal Ave, Richmond, VA 23225-3320 2020-11-05
1528675204 Lyndel Rose Schuster Dietitian, Registered 3104 Park Ave, Richmond, VA 23221-1610 2020-09-28
1821609561 Shelley Palmer Dietitian, Registered 3306 Garland Ave, Richmond, VA 23222-2643 2020-08-15
1649891946 Rebekah Ruth Miller Dietitian, Registered 20402 Lemon Blossom Cir, Richmond, TX 77407-1499 2020-04-28
1710514575 Alexandra Oksana Anderson Dietitian, Registered 71020 Weeks Rd, Richmond, MI 48062-4924 2020-03-23
1326685595 Marian Flocco Dietitian, Registered 12200 Browning Pl, Richmond, VA 23233-1743 2019-12-05
1356907117 Julie Barbaro Dietitian, Registered 2201 Libbie Ave, Richmond, VA 23230-2364 2019-05-16
1194294942 Angela Spencer Dietitian, Registered 2924 Emerywood Pkwy Ste 103, Richmond, VA 23294-3746 2018-11-21
1326513391 Cayla Jablonski Dietitian, Registered 420 Libbie Ave Ste 200, Richmond, VA 23226-2664 2018-10-05
1659860898 Holly Michelle Falke Dietitian, Registered 1810 Lake Arrowhead Dr, Richmond, TX 77406-6993 2018-05-03
Find all providers in RICHMOND

Competitor

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City RICHMOND
Zip Code 23220

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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