Cynthia E Eivins, MS, RD, LD. CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2013034937 Issued in MO

Practice address

1210 Washington St
Chillicothe, MO 64601-1309

Phone

(660) 646-3638

NPI assigned

Jul 29, 2006

Last updated

Feb 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Hy-Vee Inc

  dba Hy-Vee Pharmacy (1036)

  • Community/Retail Pharmacy
  • Bethany, MO
  • NPI 1356378293
  NPD (past)

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1902810211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E BURDICK ST",
            "city": "HAMILTON",
            "state": "MO",
            "postal_code": "646448280",
            "telephone_number": "515-290-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 WASHINGTON ST",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646011309",
            "telephone_number": "660-646-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIVINS",
        "first_name": "CYNTHIA",
        "middle_name": "E",
        "credential": "MS, RD, LD. CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "01697",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2013034937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACADEMY OF NUTRITION AND DIETETICS",
            "identifier": "198150",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Dinwiddie
• Jill Renee Distler, MT
• Julie L Dorrell, PTA
• Bryan Douglas Doyle
• Dva Renal Healthcare Inc (Chillicothe Dialysis)
• Eldercare of Mid-Missouri IX, Inc. (StoneBridge Chillicothe)
• EMS of Chillicothe LLC
• Erich Gerald Eriksen, D.P.M.
• Family Health Center, Inc.
• Rachell Fordyce

• Registered Dietitian in Chillicothe, MO
• Providers in Chillicothe, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.