Cynthia G Boynton, LICENSED DIETICIAN N

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

410 Lincoln Way East
Mishawaka, IN 46544

Phone

(574) 259-5653

Fax

(574) 259-5654

NPI assigned

Aug 15, 2007

Last updated

Aug 15, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1881886653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 LINCOLN WAY EAST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "46544",
            "telephone_number": "574-259-5653",
            "fax_number": "574-259-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 LINCOLN WAY EAST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "46544",
            "telephone_number": "574-259-5653",
            "fax_number": "574-259-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYNTON",
        "first_name": "CYNTHIA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LICENSED DIETICIAN N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01635133",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Bowling, M.D.
• Nadia Bowling, M.D
• Danielle Boyd, RN
• Michael Eric Boyer, LSW (TEMP)
• Melissa Boyll, LSW
• Lawrence C Boynton, CFA
• Jacqueline Brady
• Sarah Brady, MS
• Lois Marie Brandon, FNP
• Melody Alara Brazier

• Nutritionist in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Nutritionist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.