Individual provider Active NPI

Cindy L Gegeshidze, RD

  • Registered Dietitian
  • Fredericksburg, VA
National Provider Identifier
1003301094
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
951269 Issued in VA
Practice address
10401 Spotsylvania Ave Ste 300
Fredericksburg, VA 22408-8609
Phone
(540) 413-7440
NPI assigned
Jun 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 951269 VA Primary

Addresses

Primary practice location

10401 Spotsylvania Ave Ste 300
Fredericksburg, VA 22408-8609

Mailing address

5785 Coakley Dr
King George, VA 22485-2457
Phone (540) 413-7440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
951269VAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1003301094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5785 COAKLEY DR",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224852457",
            "telephone_number": "540-413-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 SPOTSYLVANIA AVE STE 300",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224088609",
            "telephone_number": "540-413-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEGESHIDZE",
        "first_name": "CINDY",
        "middle_name": "L",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "951269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.