Active NPI
Cynthia Kae Rosenow, RD, CD
- Registered Dietitian
- Henderson, NV
National Provider Identifier
1487795928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 39643-DI-1
- Practice address
- 871 Coronado Center Dr Ste 200
Henderson, NV 89052-3977 - Phone
- (702) 830-9685
- Fax
- (702) 623-2921
- NPI assigned
- Feb 9, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DI00001729 | WA | |
| Registered Dietitian | 133V00000X | 39643-DI-0 | NV | |
| Registered Dietitian | 133V00000X | 39643-DI-1 | NV | Primary |
Addresses
Primary practice location
871 Coronado Center Dr Ste 200
Henderson, NV 89052-3977
Mailing address
18001 N 79TH Ave Ste A12
Glendale, AZ 85308-8398
Phone (623) 399-6825
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39643-DI-0 | Other | NV | NV DIETICIAN LICENSE |
| 8451833 | Medicaid | WA | |
| 39643-DI-1 | Other | NV | NV DIETITIAN LICENSE |
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 |
|---|---|---|---|
| 39643-DI-1 | NV | MD | Registered Dietitian |
| DI00001729 | WA | MD | Registered Dietitian |
Interoperability endpoints
- cynthia.rosenow.p1@direct.nevadahealthcenters.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1487795928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18001 N 79TH AVE STE A12",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088398",
"telephone_number": "623-399-6825",
"fax_number": "623-505-3474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "871 CORONADO CENTER DR STE 200",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890523977",
"telephone_number": "702-830-9685",
"fax_number": "702-623-2921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENOW",
"first_name": "CYNTHIA",
"middle_name": "KAE",
"name_prefix": "Ms.",
"credential": "RD, CD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI00001729",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NV",
"license": "39643-DI-0",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NV",
"license": "39643-DI-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NV DIETICIAN LICENSE",
"identifier": "39643-DI-0",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8451833",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NV DIETITIAN LICENSE",
"identifier": "39643-DI-1",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.