Cynthia C King, MS, RDN, LD, CHES

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86066159

Practice address

2831 Lockeridge Bend Dr
Spring, TX 77386-7031

Phone

(936) 661-6063

NPI assigned

Nov 3, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Cynthia M Clark Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1003328659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 LOCKERIDGE BEND DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773867031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 LOCKERIDGE BEND DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773867031",
            "telephone_number": "936-661-6063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4023 Alshire Dr",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "77373",
            "country_code": "US",
            "telephone_number": "936-661-6063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "CYNTHIA",
        "middle_name": "C",
        "credential": "MS, RDN, LD, CHES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT84665",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86066159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "CLARK",
            "middle_name": "M",
            "credential": "MS, RDN, LD, CHES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joanne Kim
• Kind and Gentle Care Group LLC
• Kindred Eyecare, P.C.
• Kinetic Plus, LTD
• King Wellness Institute
• Kellie King, PA-C
• Nancia P King
• Kingdom First Medical Transportation LLC
• Kingdom First Medical Transportation LLC
• Brittany Kingston

• Registered Dietitian in Spring, TX
• Providers in Spring, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.