Active NPI
Maria Anique Cuccio, RDLD
- Registered Dietitian
- Chesterfield, MO
National Provider Identifier
1699977611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2003001976
- Practice address
- 232 S Woods Mill Rd
Chesterfield, MO 63017-3417 - Phone
- (314) 205-6466
- NPI assigned
- Jun 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 2003001976 | MO | Primary |
Addresses
Primary practice location
232 S Woods Mill Rd
Chesterfield, MO 63017-3417
Mailing address
736 Rose Haven CT
Ballwin, MO 63021-4013
Phone (314) 221-7307
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003001976 | MO | 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": "1699977611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "736 ROSE HAVEN CT",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630214013",
"telephone_number": "314-221-7307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 S WOODS MILL RD",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630173417",
"telephone_number": "314-205-6466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUCCIO",
"first_name": "MARIA",
"middle_name": "ANIQUE",
"credential": "RDLD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2003001976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MO
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.