Cynthia A. Carlson, RD,LDN
NPI 1477818748ActiveIndividual· Dietitian, Registered· Oak Lawn, IL
Dietitian, Registered (RD,LDN) with Jefferson Park Medical Group PC, practicing in Oak Lawn, Illinois. Medicare paid $10,575 for services to 38 patients in 2024.
Overview
| NPI | 1477818748 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD,LDN |
| Sole proprietor | Yes |
| NPI issued | Jul 11, 2012 |
| Last updated in NPPES | Jul 16, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 164000634 | IL |
| Dietary Manager | 132700000X | 164000634 | IL |
| Nutritionist | 133N00000X | 164000634 | IL |
| Nutritionist, Nutrition, Education | 133NN1002X | 164000634 | IL |
| Dietitian, Registered, Nutrition, Pediatric | 133VN1004X | 164000634 | IL |
| Dietitian, Registered, Nutrition, Renal | 133VN1005X | 164000634 | IL |
| Dietitian, Registered, Nutrition, Metabolic | 133VN1006X | 164000634 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 38 |
|---|---|
| Services billed | 392 across 3 procedure codes |
| Paid by Medicare | $10,575 |
Education and affiliations
| Graduation year | 1989 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
| Telehealth | Offers telehealth |
Medical group
- Jefferson Park Medical Group PCChicago, IL · 4 clinicians
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