Active NPI
Cindy Custer, RD
- Registered Dietitian
- Cornelius, NC
National Provider Identifier
1760974026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L005037
- Practice address
- 18137 W Catawba Ave
Cornelius, NC 28031-5641 - Phone
- (949) 294-8834
- NPI assigned
- Jun 3, 2018
- 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 | L005037 | NC | Primary |
Addresses
Primary practice location
18137 W Catawba Ave
Cornelius, NC 28031-5641
Mailing address
11646 Hidden Forest LN
Davidson, NC 28036-8544
Phone (949) 294-8834
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 |
|---|---|---|---|
| L005037 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527984000000",
"number": "1760974026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11646 HIDDEN FOREST LN",
"city": "DAVIDSON",
"state": "NC",
"postal_code": "280368544",
"telephone_number": "949-294-8834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18137 W CATAWBA AVE",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280315641",
"telephone_number": "949-294-8834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSTER",
"first_name": "CINDY",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-03",
"last_updated": "2018-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L005037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.