Active NPI
Constance C Sroka, R.D., C.D.E.
- Metabolic Nutrition Registered Dietitian
- Farmington Hills, MI
National Provider Identifier
1194275891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- 490855
- Practice address
- 32255 Northwestern Hwy
Suite 30
Farmington Hills, MI 48334-1566 - Phone
- (248) 851-1419
- NPI assigned
- Oct 6, 2016
- 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 |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 490855 | MI | Primary |
Addresses
Primary practice location
32255 Northwestern Hwy
Suite 30
Farmington Hills, MI 48334-1566
Mailing address
32255 Northwestern Hwy
Suite 30
Farmington Hills, MI 48334-1566
Phone (248) 851-1419
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
| License | State | Type | Specialty |
|---|---|---|---|
| 490855 | MI | MD | Metabolic Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475712000000",
"number": "1194275891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32255 NORTHWESTERN HWY",
"address_2": "SUITE 30",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483341566",
"telephone_number": "248-851-1419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32255 NORTHWESTERN HWY",
"address_2": "SUITE 30",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483341566",
"telephone_number": "248-851-1419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SROKA",
"first_name": "CONSTANCE",
"middle_name": "C",
"credential": "R.D., C.D.E.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-06",
"last_updated": "2016-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "MI",
"license": "490855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.