Individual provider Active NPI

Cynthia (Cyndi) A Schneider, RD, LD, CDCES

  • Registered Dietitian
  • Tulsa, OK
National Provider Identifier
1952747768
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1204 Issued in OK
Practice address
940 E 36TH St N
Tulsa, OK 74106-1953
Phone
(918) 398-9460
Fax
(918) 922-2822
NPI assigned
May 20, 2013
Last updated
Mar 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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 1204 OK Primary

Addresses

Primary practice location

940 E 36TH St N
Tulsa, OK 74106-1953

Mailing address

940 E 36TH St N
Tulsa, OK 74106-1953
Phone (918) 398-9460

Other identifiers 1

IdentifierTypeStateIssuer
200509030AMedicaidOK

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

State licenses

LicenseStateTypeSpecialty
1204OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Nov 5, 2017 Accepting new patients
Warren Clinic Inc CurrentSince Oct 18, 2021 Accepting new patients
St. John Physicians, Inc. CurrentSince Nov 5, 2017 Accepting new patients
Crossover Health Services Inc CurrentSince Apr 18, 2019 Accepting new patients
Crossover Health Services Inc CurrentSince Apr 18, 2019 Accepting new patients
St John Health System Past Accepting new patients
St. John Physicians, Inc. Dietitian, Registered Past Accepting new patients

Locations

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1717 S Utica Ave
Ste 205
Tulsa, OK 74104
Phone (918) 744-2444

5635 N Martin Luther King Jr Blvd
Tulsa, OK 74126
Phone (918) 398-9460

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

940 E 36th St N
Tulsa, OK 74106
Phone (918) 398-9460

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16190/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1952747768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E 36TH ST N",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741061953",
            "telephone_number": "918-398-9460",
            "fax_number": "918-922-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E 36TH ST N",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741061953",
            "telephone_number": "918-398-9460",
            "fax_number": "918-922-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "CYNTHIA (CYNDI)",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "RD, LD, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-20",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200509030A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.