Active NPI
Cynthia Clark, RD
- Registered Dietitian
- Washington, DC
National Provider Identifier
1760490338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 110 Irving St NW
Washington Ca Institute - RM. C1213
Washington, DC 20010-2976 - Phone
- (202) 877-3498
- Fax
- (202) 877-8539
- NPI assigned
- Aug 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DC | Primary |
Addresses
Primary practice location
110 Irving St NW
Washington Ca Institute - RM. C1213
Washington, DC 20010-2976
Mailing address
5304 Crestedge LN
Rockville, MD 20853-2503
Phone (301) 257-3299
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 |
|---|---|---|---|
| DI100000146 | DC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1760490338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5304 CRESTEDGE LN",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208532503",
"telephone_number": "301-257-3299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 IRVING ST NW",
"address_2": "WASHINGTON CA INSTITUTE - RM. C1213",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102976",
"telephone_number": "202-877-3498",
"fax_number": "202-877-8539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "CYNTHIA",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "DC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.