Individual provider Active NPI

Cynthia Dennise Cameron, RDN. LD

  • Registered Dietitian
  • Edinburg, TX
National Provider Identifier
1265279236
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT84099 Issued in TX
Practice address
13402 N Expressway 281
Edinburg, TX 78542-2433
Phone
(956) 647-3368
NPI assigned
Jul 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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 DT84099 TX Primary

Addresses

Primary practice location

13402 N Expressway 281
Edinburg, TX 78542-2433

Mailing address

13402 N Expressway 281
Edinburg, TX 78542-2433
Phone (956) 647-3368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241209002506 TX Practitioner - Registered Dietitian Or Nutrition Professional 7517493984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13402 N Expressway
Suite 281
Edinburg, TX 78542-2433
Phone (956) 647-3368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT84099TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nourished & Bloom LLC Dietitian, Registered CurrentSince Oct 24, 2024 Accepting new patients
Marjorie Nolan Cohn LLC Dietitian, Registered PastSince Jul 21, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1265279236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13402 N EXPRESSWAY 281",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785422433",
            "telephone_number": "956-647-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13402 N EXPRESSWAY 281",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785422433",
            "telephone_number": "956-647-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "CYNTHIA",
        "middle_name": "DENNISE",
        "credential": "RDN. LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT84099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.