Individual provider Active NPI

Cynthia Lynn Slivka, R.D.

  • Registered Dietitian
  • Valparaiso, IN
National Provider Identifier
1073535100
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
37000414A Issued in IN
Practice address
814 Laporte Ave
Valparaiso, IN 46383-5860
Phone
(219) 263-4741
Fax
(219) 263-7144
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 37000414A IN Primary

Addresses

Primary practice location

814 Laporte Ave
Valparaiso, IN 46383-5860

Mailing address

2601 Boca Raton Dr
Valparaiso, IN 46383-4445
Phone (219) 465-7124

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

State licenses

LicenseStateTypeSpecialty
37000414AINMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073535100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 BOCA RATON DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834445",
            "telephone_number": "219-465-7124",
            "fax_number": "219-263-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 LAPORTE AVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835860",
            "telephone_number": "219-263-4741",
            "fax_number": "219-263-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLIVKA",
        "first_name": "CYNTHIA",
        "middle_name": "LYNN",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37000414A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.