Individual provider Active NPI

Cyndy W Beau, RDN

  • Registered Dietitian
  • Jackson, MS
National Provider Identifier
1881275113
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
D0589 Issued in MS
Practice address
971 Lakeland Dr Ste 450
Jackson, MS 39216-4615
Phone
(601) 948-5158
Fax
(601) 326-4265
NPI assigned
Apr 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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 D0589 MS Primary

Addresses

Primary practice location

971 Lakeland Dr Ste 450
Jackson, MS 39216-4615

Mailing address

971 Lakeland Dr Ste 450
Jackson, MS 39216-4615
Phone (601) 326-4255

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210505002564 MS Practitioner - Registered Dietitian Or Nutrition Professional 9234548140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diabetes and Endocrine Center of MsGroup PAC ID 5496935421, 9 clinicians

Practice addresses (Care Compare)

971 Lakeland Dr
Suite 450
Jackson, MS 39216-4615
Phone (601) 326-4255

Merit-based Incentive Payment System (MIPS)

Final score
92.53 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D0589MSMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes and Endocrine Center of Ms CurrentSince Dec 1, 2022 Accepting new patients

Locations

971 Lakeland Dr
Ste 450
Jackson, MS 39216
Phone (601) 326-4255

Interoperability endpoints

  • Direct secure messaging: cyndy.mcneer.p9048@direct.decm.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1881275113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR STE 450",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164615",
            "telephone_number": "601-326-4255",
            "fax_number": "601-228-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR STE 450",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164615",
            "telephone_number": "601-948-5158",
            "fax_number": "601-326-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAU",
        "first_name": "CYNDY",
        "middle_name": "W",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MS",
            "license": "D0589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.