Cynthia Desiree Kedzierski, NT, RD, LDN

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

16406 S Westwood Dr
Lockport, IL 60441-7666

Phone

(815) 919-0312

Fax

(815) 271-7339

NPI assigned

Mar 5, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tiny Tots Nutrition Therapy LLC

  • Registered Dietitian
  • Lockport, IL
  • NPI 1467690099
  NPD (past) Authorized official

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1093844938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16406 S WESTWOOD DR",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604417666",
            "telephone_number": "815-919-0312",
            "fax_number": "815-271-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16406 S WESTWOOD DR",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604417666",
            "telephone_number": "815-919-0312",
            "fax_number": "815-271-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEDZIERSKI",
        "first_name": "CYNTHIA",
        "middle_name": "DESIREE",
        "credential": "NT, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lane Aldous Kadlec
• Patricia Kane, BCBA
• Joseph P Karcavich, MD
• Karen a Omalley Counseling LLC
• Karyn L Horan Refuge Mental Health Counseling
• Candice Joan Kehr, DT
• Diana Kelly-Money
• Lauren Kinney
• Lance A Kirby, PA-C
• Jaime Klacko, P.T.

• Nutritionist in Lockport, IL
• Providers in Lockport, IL by specialty
• Nutritionist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.