Active NPI
Cydney Jared Wolf, R.D.
- Registered Dietitian
- Burlington, VT
National Provider Identifier
1205038486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 074-85
- Practice address
- 1 S Prospect St
Renal Services
Burlington, VT 05401-3456 - Phone
- (802) 847-3572
- NPI assigned
- Jun 1, 2007
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 074-85 | VT | Primary |
Addresses
Primary practice location
1 S Prospect St
Renal Services
Burlington, VT 05401-3456
Mailing address
111 Colchester Ave
Engineering 328
Burlington, VT 05401-1473
Phone (802) 847-4760
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 |
|---|---|---|---|
| 074-85 | VT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205038486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE",
"address_2": "ENGINEERING 328",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011473",
"telephone_number": "802-847-4760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 S PROSPECT ST",
"address_2": "RENAL SERVICES",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054013456",
"telephone_number": "802-847-3572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "CYDNEY",
"middle_name": "JARED",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VT",
"license": "074-85",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, VT
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.