Provider Demographics
NPI:1497475255
Name:CIANCIOTTI, RANDI (MS, RD, LDN)
Entity Type:Individual
Prefix:
First Name:RANDI
Middle Name:
Last Name:CIANCIOTTI
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1644 E LAUREL CIR
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:PA
Mailing Address - Zip Code:15666-2180
Mailing Address - Country:US
Mailing Address - Phone:412-251-8803
Mailing Address - Fax:
Practice Address - Street 1:1644 E LAUREL CIR
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:PA
Practice Address - Zip Code:15666-2180
Practice Address - Country:US
Practice Address - Phone:412-251-8803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA86063904133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered