Healthcare Provider Details

I. General information

NPI: 1437085305
Provider Name (Legal Business Name): SARA KATHERINE DODGE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 US-6 W
IOWA CITY IA
52246
US

IV. Provider business mailing address

725 EMERALD ST APT D19
IOWA CITY IA
52246-3032
US

V. Phone/Fax

Practice location:
  • Phone: 319-338-0581
  • Fax:
Mailing address:
  • Phone: 319-671-3569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number8258
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number25612
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: