MS. CYNTHIA K. GREEN (NPI# 1568565497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568565497 |
| Entity Type | Individual |
| Full Name | MS. CYNTHIA K. GREEN |
| Credential | ED DIETITIAN |
| Practice Address |
1110 N Sarah Dewitt Dr Gonzales TX 78629-3311 |
| Practice Telephone | 8306727581 |
| Practice Fax Number | 8306722401 |
| Mailing Telephone | 8306727581 |
| Mailing Fax Number | 8306722401 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2016-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 862948 | TX | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 3460982 | 05 | |
| TX | LICENSED DIETITIAN | DT05451 | 01 |
| TX | MEDICARE GROUP NUMBER | 00L70B | 01 |
| TX | DIETETIC REGISTRATION | 862948 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093160335 | Cynthia S Green | Speech-Language Pathologist | 1015 Pebble Creek Trl, Suwanee, GA 30024-1176 | 2016-04-24 |
| 1457522906 | Cynthia Green | Licensed Practical Nurse | 41 Lime Street, Rochester, NY 14606-1034 | 2008-03-12 |
| 1366564379 | Cynthia Faye Green | Case Manager/Care Coordinator | 3272 Spring Mesa Ct, Snellville, GA 30039-4771 | 2007-04-03 |
| 1295854065 | Cynthia Green | Registered Nurse | 4789 S Dahlia St, Littleton, CO 80121-2013 | 2007-03-29 |
| 1881721215 | Cynthia Rachel Green | Psychologist | 1 Erwin Park, Montclair, NJ 07042-3017 | 2007-02-27 |
| 1003909342 | Cynthia Ann Green | Counselor | 150 W Patrick St, Frederick, MD 21701-5514 | 2006-10-01 |
| 1396777934 | Cynthia Ann Green | Dentist | 2287 Raleigh Ct Ste C, Clarksville, TN 37043-2063 | 2006-07-06 |
| 1811972201 | Cynthia W Green | Counselor | 19855 Southwest Fwy, Suite 310, Sugar Land, TX 77479-6535 | 2005-12-08 |
| 1073156147 | Cynthia S Green | Counselor | 3101 S Kimbrough Ave Ste C, Springfield, MO 65807-5011 | 2019-10-22 |
| 1265936611 | Cynthia Green | Behavior Technician | 1145 Sibley St, Folsom, CA 95630-3222 | 2018-03-21 |
| Street Address |
1110 N SARAH DEWITT DR |
| City | GONZALES |
| State | TX |
| Zip Code | 78629-3311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376547919 | Humberto Rivas | Pediatrics | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2005-06-10 |
| 1649744301 | Terry Matthew Clay | Physical Therapist | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2019-01-16 |
| 1790283596 | Diana Marie Mikulencak-picha | Registered Nurse | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2018-01-26 |
| 1700231396 | Michael Mikesh | Physical Therapist | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2016-05-02 |
| 1285088377 | Steven Poteet | Physical Therapist | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2016-04-15 |
| 1255799755 | Karen Fortune | Speech-Language Pathologist | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2016-01-29 |
| 1538527031 | Sheryl Breitschopf | Occupational Therapist | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2016-01-29 |
| 1932566577 | Sandra Johnston | Social Worker | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2016-01-27 |
| 1922465533 | Brittany Hill | Physical Therapist | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2016-01-27 |
| 1164840955 | Rikki Desiree Baldwin | Obstetrics & Gynecology | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2014-03-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265032072 | Bruce Franklin Blackwell | Pharmacist | 1114 East Sarah Dewitt Drive, Gonzales, TX 78629 | 2020-10-30 |
| 1790327765 | Gonzales County Emergency Services District 1 | Ambulance | 305 Qualls Street, Gonzales, TX 78629 | 2019-10-11 |
| 1831663400 | Caitlin Walker | Clinic/Center | 1300 Captain Albert Martin Trail, Gonzales, TX 78629 | 2019-01-17 |
| 1497251698 | Vaz Urgent Care Clinic, Pa | Clinic/Center | 1003 N Sarah Dewitt Drive, Gonzales, TX 78629 | 2018-04-05 |
| 1104348762 | Jeremiah Berryhill | Specialist/Technologist | 1711 E Sarah Dewitt Dr., Gonzales, TX 78629 | 2017-07-14 |
| 1073912861 | Gonzales County Senior Citizens Association, Inc | Home Delivered Meals | 818 Seydler Street, Gonzales, TX 78629 | 2014-08-18 |
| 1932544517 | Familylink Treatment Services | Counselor | 13326 Highway North 183, Gonzales, TX 78629 | 2013-05-08 |
| 1598035651 | H-e-b, Lp | Clinical Medical Laboratory | 1841 Church St., Gonzales, TX 78629 | 2012-01-06 |
| 1942441159 | Rebecca P. Bohach | Licensed Vocational Nurse | 228 St. George, Community Health Centers of South Central Texas, Inc, Gonzales, TX 78629 | 2009-03-18 |
| 1376763631 | Gonzales Isd | Local Education Agency (LEA) | 535 Fair St., Gonzales, TX 78629 | 2007-04-27 |
| Find all providers in zip 78629 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548525165 | Jessica F Coffee | Dietitian, Registered | 2647 S Saint Elizabeth Blvd Ste 225, Gonzales, LA 70737-5022 | 2012-07-10 |
| 1962777219 | Cheri S Landry | Dietitian, Registered | 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 | 2012-03-20 |
| 1811262165 | Lauren Jones | Dietitian, Registered | 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 | 2012-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902637 | Allison Kleppe | Dietitian, Registered | 6255 Oram St Apt 106, Dallas, TX 75214-3985 | 2020-11-08 |
| 1326649088 | Mitzie Rojas | Dietitian, Registered | 1805 Aquarena Springs Dr Apt 505, San Marcos, TX 78666-8164 | 2020-11-07 |
| 1912507971 | Wendy Snowden | Dietitian, Registered | 11223 Kingsgate Dr, Austin, TX 78748-3435 | 2020-10-29 |
| 1720687718 | Jordan Wright | Dietitian, Registered | 2900 N Braeswood Blvd Apt 6204, Houston, TX 77025-2367 | 2020-10-20 |
| 1891393062 | Melanie Thomas | Dietitian, Registered | 4722 Pickridge Ct, Fresno, TX 77545-7529 | 2020-10-11 |
| 1073110318 | Mary Elizabeth Santarosa Mahoney | Dietitian, Registered | 1322 Cotulla Dr, Allen, TX 75013-4639 | 2020-10-08 |
| 1104423797 | Mariam Maaz Eid | Dietitian, Registered | 8421 Etienne Cv, Austin, TX 78759-8201 | 2020-10-06 |
| 1518564467 | Elizabeth Hill | Dietitian, Registered | 6500 Champion Grandview Way Apt 22105, Austin, TX 78750-8388 | 2020-10-05 |
| 1215534441 | Maryia Nassonova | Dietitian, Registered | 5740 Airport Fwy, Haltom City, TX 76117-6005 | 2020-10-01 |
| 1366049488 | Ifunanya Onyima | Dietitian, Registered | 2500 Marketplace Dr Apt 536, Waco, TX 76711-2440 | 2020-10-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.