Healthcare Provider Details

I. General information

NPI: 1720990500
Provider Name (Legal Business Name): SARAH SAVINKOV RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH PEPTENAR RDN

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20294 N 51ST DR
GLENDALE AZ
85308-9315
US

IV. Provider business mailing address

20294 N 51ST DR
GLENDALE AZ
85308-9315
US

V. Phone/Fax

Practice location:
  • Phone: 602-703-2558
  • Fax:
Mailing address:
  • Phone: 602-703-2558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number164007770
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: