Active NPI
Christine N Soviak, RD
- Registered Dietitian
- Carmel, IN
National Provider Identifier
1093440760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 967167
- Practice address
- 1980 E 116TH St Ste 120B
Carmel, IN 46032-3515 - Phone
- (513) 313-9207
- NPI assigned
- Jul 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 967167 | IN | Primary |
Addresses
Primary practice location
1980 E 116TH St Ste 120B
Carmel, IN 46032-3515
Mailing address
553 Silverdale CT
Westfield, IN 46074-7100
Phone (513) 313-9207
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 967167 | IN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1093440760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "553 SILVERDALE CT",
"city": "WESTFIELD",
"state": "IN",
"postal_code": "460747100",
"telephone_number": "513-313-9207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1980 E 116TH ST STE 120B",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323515",
"telephone_number": "513-313-9207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOVIAK",
"first_name": "CHRISTINE",
"middle_name": "N",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-18",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "967167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.