Individual provider Active NPI

Cynthia Susan Collins, PH.D., R.D., LD/N

  • Registered Dietitian
  • Palm Beach Gardens, FL
National Provider Identifier
1841455359
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND4496 Issued in FL
Practice address
11380 Prosperity Farms Rd
Suite 209a
Palm Beach Gardens, FL 33410-3474
Phone
(561) 691-3833
Fax
(561) 694-6120
NPI assigned
Jul 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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 ND4496 FL Primary

Addresses

Primary practice location

11380 Prosperity Farms Rd
Suite 209a
Palm Beach Gardens, FL 33410-3474

Mailing address

11380 Prosperity Farms Rd
Suite 209a
Palm Beach Gardens, FL 33410-3474
Phone (561) 691-3833

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1841455359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11380 PROSPERITY FARMS RD",
            "address_2": "SUITE 209A",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103474",
            "telephone_number": "561-691-3833",
            "fax_number": "561-694-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11380 PROSPERITY FARMS RD",
            "address_2": "SUITE 209A",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103474",
            "telephone_number": "561-691-3833",
            "fax_number": "561-694-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "CYNTHIA",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PH.D., R.D., LD/N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND4496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.