Individual provider Active NPI

Cynthia Milner Woodman, M.S., R.D.N., L.D.N.

  • Metabolic Nutrition Registered Dietitian
  • Shirley, MA
National Provider Identifier
1851362248
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
NU772 Issued in MA
Practice address
16 Morse Cir
Shirley, MA 01464-2908
Phone
(978) 425-5785
Fax
(978) 425-5783
NPI assigned
Feb 1, 2006
Last updated
May 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU772 MA
Metabolic Nutrition Registered Dietitian 133VN1006X NU772 MA Primary

Addresses

Primary practice location

16 Morse Cir
Shirley, MA 01464-2908

Mailing address

16 Morse Cir
Shirley, MA 01464-2908
Phone (978) 425-5785

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050801000863 MA Practitioner - Registered Dietitian Or Nutrition Professional 7618905548 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
NU772MAMDRegistered Dietitian

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1851362248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MORSE CIR",
            "city": "SHIRLEY",
            "state": "MA",
            "postal_code": "014642908",
            "telephone_number": "978-425-5785",
            "fax_number": "978-425-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MORSE CIR",
            "city": "SHIRLEY",
            "state": "MA",
            "postal_code": "014642908",
            "telephone_number": "978-425-5785",
            "fax_number": "978-425-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODMAN",
        "first_name": "CYNTHIA",
        "middle_name": "MILNER",
        "name_prefix": "Mrs.",
        "credential": "M.S., R.D.N., L.D.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "NU772",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "MA",
            "license": "NU772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shirley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.