Active NPI
Sandra Anne Kuniewicz, MS, RD, CDE
- Registered Dietitian
- Columbus, IN
National Provider Identifier
1023582434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 37002649A
- Practice address
- 2400 17TH St
Columbus, IN 47201-5351 - Phone
- (812) 376-5709
- Fax
- (812) 376-5914
- NPI assigned
- Jan 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 37002649A | IN | Primary |
Addresses
Primary practice location
2400 17TH St
Columbus, IN 47201-5351
Mailing address
6092 Acorn Dr
Columbus, IN 47201-8446
Phone (812) 374-2755
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37002649A | IN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547769600000",
"number": "1023582434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6092 ACORN DR",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472018446",
"telephone_number": "812-374-2755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 17TH ST",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472015351",
"telephone_number": "812-376-5709",
"fax_number": "812-376-5914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNIEWICZ",
"first_name": "SANDRA",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "MS, RD, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-18",
"last_updated": "2019-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "37002649A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.