Individual provider Active NPI

Cynthia L Witkowski, MPH RD CDE LDN

  • Registered Dietitian
  • Palm Harbor, FL
National Provider Identifier
1801065149
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND5272 Issued in FL
Practice address
34921 US Highway 19 N
Palm Harbor, FL 34684-1969
Phone
(727) 376-9757
Fax
(727) 245-8670
NPI assigned
Feb 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X ND5272 FL Primary

Addresses

Primary practice location

34921 US Highway 19 N
Palm Harbor, FL 34684-1969

Mailing address

7143 State Road 54 Unit 121
New Port Richey, FL 34653-6104
Phone (727) 376-9757

Other practice location 1

6318 Rowan Rd
New Port Richey, FL 34653-3400
Phone (727) 376-9757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090430000517 FL Practitioner - Registered Dietitian Or Nutrition Professional 1951459940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Dietitians Group of West Florida, IncGroup PAC ID 0749417046, 6 clinicians

Practice addresses (Care Compare)

6318 Rowan Rd
New Port Richey, FL 34653-3400
Phone (727) 376-9757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Dietitians Group of West Florida, Inc. Dietitian, Registered CurrentSince Oct 13, 2013 Accepting new patients

Locations

7575 State Road 52
Hudson, FL 34667
Phone (727) 861-9800

6318 Rowan Rd
New Port Richey, FL 34653
Phone (727) 376-9757

5413 US Highway 19
New Prt Rchy, FL 34652
Phone (727) 842-2020

7143 State Road 54
New Prt Rchy, FL 34653
Phone (727) 919-3000

603 7th St S
Ste 330
St Petersburg, FL 33701
Phone (727) 553-7390

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1801065149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7143 STATE ROAD 54 UNIT 121",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536104",
            "telephone_number": "727-376-9757",
            "fax_number": "727-245-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34921 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841969",
            "telephone_number": "727-376-9757",
            "fax_number": "727-245-8670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6318 Rowan Rd",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346533400",
            "country_code": "US",
            "telephone_number": "727-376-9757",
            "fax_number": "727-245-8670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITKOWSKI",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "credential": "MPH RD CDE LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND5272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.