Individual provider Active NPI

Cheryl Eileen Hayes, RD, LDN, CLT

  • Registered Dietitian
  • Cranberry TWP, PA
National Provider Identifier
1346791118
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
725355 Issued in TX
Practice address
2009 Mackenzie Way
Suite 100
Cranberry TWP, PA 16066-5338
Phone
(724) 720-9337
NPI assigned
Oct 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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 725355 TX Primary

Addresses

Primary practice location

2009 Mackenzie Way
Suite 100
Cranberry TWP, PA 16066-5338

Mailing address

2009 Mackenzie Way
Suite 100
Cranberry TWP, PA 16066-5338
Phone (724) 720-9337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 30, 2020 through Oct 30, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
725355TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1346791118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 MACKENZIE WAY",
            "address_2": "SUITE 100",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160665338",
            "telephone_number": "724-720-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 MACKENZIE WAY",
            "address_2": "SUITE 100",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160665338",
            "telephone_number": "724-720-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "CHERYL",
        "middle_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "725355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP, PA

Sources for this page

Verify at the official NPI Registry.