Active NPI
Nutrition With Kyra Tywanick RDN
- Registered Dietitian
- Clinton, NJ
National Provider Identifier
1649017542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- NUTRITION WITH KYRA TYWANICK RDN
- Practice address
- 21 Fieldstone Dr
Clinton, NJ 08809-1390 - Phone
- (908) 894-4561
- NPI assigned
- Jul 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kyra Tywanick, RDN
- Title
- Registered Dietitian
- Phone
- (908) 894-4561
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
21 Fieldstone Dr
Clinton, NJ 08809-1390
Mailing address
21 Fieldstone Dr
Clinton, NJ 08809-1390
Phone (908) 894-4561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or 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-2",
"last_updated_epoch": "1720483200000",
"number": "1649017542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 FIELDSTONE DR",
"city": "CLINTON",
"state": "NJ",
"postal_code": "088091390",
"telephone_number": "908-894-4561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 FIELDSTONE DR",
"city": "CLINTON",
"state": "NJ",
"postal_code": "088091390",
"telephone_number": "908-894-4561"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRITION WITH KYRA TYWANICK RDN",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-09",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A",
"authorized_official_last_name": "TYWANICK",
"authorized_official_first_name": "KYRA",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "908-894-4561",
"authorized_official_credential": "RDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.