M Cindy McCuistion, RN, NTP

Primary specialty

Nutrition Support Registered NurseTaxonomy code 163WN1003X

License

529422 Issued in CA

Practice address

11258 Cherry Croft Dr
Yucaipa, CA 92399-9603

Phone

(909) 557-5683

NPI assigned

Sep 26, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mary Cindy McCuistion Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1740008085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11258 CHERRY CROFT DR",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923999603",
            "telephone_number": "909-557-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11258 CHERRY CROFT DR",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923999603",
            "telephone_number": "909-557-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUISTION",
        "first_name": "M CINDY",
        "credential": "RN, NTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "CA",
            "license": "529422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MCCUISTION",
            "middle_name": "CINDY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mauricio Dossantos DDS
• Mauricio Dossantos DDS Inc.
• Nariba Maycock Gibson, DPT
• MC Carty Medical, LTD
• Andrew McCreary
• Loleta Michelle McDaniel, LMFT, M.S.
• Emily J McDonnell
• Analese Jane McGee
• Dariaunna Dree'a McGee
• Shayna McGraw, LMFT

• Registered Nurse in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.