Cynthia M Cosenza, R.D., C.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

37001539A Issued in IN

Practice address

635 N Forest Rd
Crawfordsville, IN 47933-6134

Phone

(765) 364-1936

NPI assigned

Jan 26, 2007

Last updated

Oct 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: ccosenza82701@direct.franciscanalliance.org

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1063568558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 N FOREST RD",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479336134",
            "telephone_number": "765-364-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 N FOREST RD",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479336134",
            "telephone_number": "765-364-1936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1704 Lafayette Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Crawfordsville",
            "state": "IN",
            "postal_code": "479331071",
            "country_code": "US",
            "telephone_number": "765-364-3120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSENZA",
        "first_name": "CYNTHIA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "R.D., C.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37001539A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER PTAN",
            "identifier": "M147140002",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccosenza82701@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1704 Lafayette Rd Ste 4",
            "city": "Crawfordsville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479331071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jordan Susanne Conover, DDS
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• Lindsey Denae Cord, PMHNP
• Madison Corwin, RBT
• Dalton Dwayne Crabtree, DC
• Crawfordsville Bickford Cottage, LLC
• Crawfordsville Chiropractic, LLC
• Crawfordsville Chiroteam, Inc (crawfordsville chiropractic)
• Crawfordsville Community School Corporation

• Registered Dietitian in Crawfordsville, IN
• Providers in Crawfordsville, IN by specialty
• Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.