Cynthia Anne Buxton, MS RD LDN CDOE CLC

Individual provider Active NPI Registered Dietitian · Wakefield, RI

NPI 1972680189 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1972680189
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
LDN00157 (RI)
Practice address
1 River St
Thunder Mist Health Center of South County
Wakefield, RI 02879
Phone
(401) 783-0523
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LDN00157RIMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LDN00157 RI Yes

Addresses

Primary practice location

1 River St
Thunder Mist Health Center of South County
Wakefield, RI 02879

Mailing address

49 Old Pine Rd
Narragansett, RI 02882-2406
Phone (401) 789-3744

Other identifiers

IdentifierTypeStateIssuer
292793OtherRIBLUE CROSS
28981OtherRINEIGHBORHOOD HEALTH C
6300302OtherRIUNITED HEALTH CARE

Other names

  • Miss Cynthia Anne Pratt Former name

Other providers in Wakefield, RI

All providers in Wakefield, RI · Registered Dietitian in Rhode Island

Sources for this page

Verify at the official NPI Registry.