Individual provider Active NPI

Cynthia Jane Ball, R.D., C.D.

  • Registered Dietitian
  • Marion, IN
National Provider Identifier
1720194541
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
37000546A Issued in IN
Practice address
1700 E 38TH St
Marion, IN 46953-4568
Phone
(765) 674-3321
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
Yes

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

LicenseStateTypeSpecialty
37000546AINMDRegistered Dietitian

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 37000546A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

1700 E 38TH St
Marion, IN 46953-4568

Mailing address

411 N Bittersweet LN
Muncie, IN 47304-3734
Phone (765) 284-6513

Other names 1

NPPES NPI Registry
  • Cynthia Jane Nannie Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720194541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N BITTERSWEET LN",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043734",
            "telephone_number": "765-284-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E 38TH ST",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469534568",
            "telephone_number": "765-674-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "CYNTHIA",
        "middle_name": "JANE",
        "credential": "R.D., C.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37000546A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "NANNIE",
            "middle_name": "JANE",
            "credential": "R.D., C.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marion, IN

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.

Verify at the official NPI Registry.