Active NPI
Cynthia Ann Rutkowski, MA, RD
- Registered Dietitian
- Dearborn, MI
National Provider Identifier
1063479293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- R364117
- Practice address
- 22921 Buckingham St
Dearborn, MI 48128-2806 - Phone
- (313) 278-5217
- Fax
- (313) 206-9085
- NPI assigned
- May 1, 2006
- 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 | R364117 | Primary |
Addresses
Primary practice location
22921 Buckingham St
Dearborn, MI 48128-2806
Mailing address
22921 Buckingham St
Dearborn, MI 48128-2806
Phone (313) 278-5217
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1063479293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22921 BUCKINGHAM ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481282806",
"telephone_number": "313-278-5217",
"fax_number": "313-206-9085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22921 BUCKINGHAM ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481282806",
"telephone_number": "313-278-5217",
"fax_number": "313-206-9085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTKOWSKI",
"first_name": "CYNTHIA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MA, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "R364117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.