Provider Demographics
NPI:1629961537
Name:LAVERDE, CINDY VANESSA (MS, RD, MB(ASCP))
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:VANESSA
Last Name:LAVERDE
Suffix:
Gender:F
Credentials:MS, RD, MB(ASCP)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21006 MEDFORD LANDING LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-3195
Mailing Address - Country:US
Mailing Address - Phone:832-964-4270
Mailing Address - Fax:
Practice Address - Street 1:21006 MEDFORD LANDING LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-3195
Practice Address - Country:US
Practice Address - Phone:832-964-4270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-30
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered