MRS. KRYSTAL GRAHAM


Address: 224 Se 24th St, Gainesville, FL 32641-7516
Phone: 9049829346

MRS. KRYSTAL GRAHAM (NPI# 1477071181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477071181
Entity Type Individual
Full Name MRS. KRYSTAL GRAHAM
Credential RD, LD/N, CLC
Practice Address 224 Se 24th St
Gainesville
FL 32641-7516
Mailing Address 1454 Sw 25th Pl
Gainesville
FL 32608-2065
Practice Telephone 9049829346
Mailing Telephone 9049829346
Enumeration Date 2017-09-01
Last Update Date 2017-09-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered ND7440 FL Dietary & Nutritional Service Providers

Other Providers KRYSTAL GRAHAM

NPI Name Taxonomy Address Enumeration
1609394766 Krystal Graham Behavior Technician 41521 W 11 Mile Rd, Novi, MI 48375-1803 2017-09-08

Office Location

Street Address 224 SE 24TH ST
City GAINESVILLE
State FL
Zip Code 32641-7516

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518926013 Aleem Uddin Malik Family Medicine 224 Se 24th St, Gainesville, FL 32641-7516 2006-03-22
1023649019 Terri Hutchinson Health Educator 224 Se 24th St, Gainesville, FL 32641-7516 2020-01-29
1558992446 Thomas Riherd Health Educator 224 Se 24th St, Gainesville, FL 32641-7516 2020-01-29
1780215673 Andrew Cistola Health Educator 224 Se 24th St, Gainesville, FL 32641-7516 2020-01-29
1114558012 Ryan Mcguire Health Educator 224 Se 24th St, Gainesville, FL 32641-7516 2020-01-29
1568016541 Florida Department of Health Public Health or Welfare 224 Se 24th St, Gainesville, FL 32641-7516 2019-07-29
1942760319 Jessica Himmelberger Nurse Practitioner 224 Se 24th St, Gainesville, FL 32641-7516 2019-03-22
1154890879 Stephen Seitz Physician Assistant 224 Se 24th St, Gainesville, FL 32641-7516 2018-11-26
1659863082 Leora Apfelbaum Health Educator 224 Se 24th St, Gainesville, FL 32641-7516 2018-06-01
1366934846 Erica Barnard Health Educator 224 Se 24th St, Gainesville, FL 32641-7516 2018-05-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578060323 Walgreen Co Durable Medical Equipment & Medical Supplies 1120 E University Ave Ste 200, Gainesville, FL 32641 2018-04-09
1750882940 Enough Love LLC In Home Supportive Care 1424 Ne 4th Avenue, Gainesville, FL 32641 2018-02-23
1053822981 Thomas Richard Obrien Licensed Practical Nurse 1604 S.e. 3rd Ave., Gainesville, FL 32641 2017-10-18
1184842734 Abigail N Yeh Music Therapist 2610 Se 31st St, Gainesville, FL 32641 2007-04-20
1023120920 Lynne Marie Webster Registered Nurse Achd 224 Se 24th St, Gainesville, FL 32641 2006-08-31
1477048080 Lara Rae Rybak Family Medicine 410 Ne Waldo Rd, Gainesville, FL 32641 2018-06-26
1720523095 Samantha Jade Smith Psychologist 1200 Ne 55th Blvd, Gainesville, FL 32641 2016-12-22
1871967133 Caitlin Gable Social Worker 1604 Se 3rd Ave, Gainesville, FL 32641 2015-11-23
1184097966 Bhumi Patel Physician Assistant 224 Se 24th Street, Gainesville, FL 32641 2015-11-03
1588047468 Volha Titov Dentist 410 Ne Waldo Rd, Gainesville, FL 32641 2015-07-09
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730792003 Holly Williams Dietitian, Registered 114 Rec Center, Gainesville, FL 32611-0001 2020-08-26
1851904114 Delaney Elizabeth Fort Dietitian, Registered 1600 Sw Archer Rd # 100325, Gainesville, FL 32610-3003 2020-08-26
1447873161 Karina Esther Falcone Dietitian, Registered 706 Sw 16th Ave Apt 109, Gainesville, FL 32601-8578 2020-05-28
1710509526 Jennifer Maranowicz Dietitian, Registered 1105 Fort Clarke Blvd Apt 712, Gainesville, FL 32606-7128 2020-05-14
1396375473 Charlotte Hill Dietitian, Registered 2480 Limestone Pkwy, Gainesville, GA 30501-2088 2020-01-17
1356991095 Taylor Wooten Dietitian, Registered 100383, Gainesville, FL 32610-0001 2019-09-15
1639689953 Alexa Jane Bledsoe Dietitian, Registered 1600 Sw Archer Rd Rm M346, Gainesville, FL 32610-3003 2017-10-02
1447607353 Marta Ferraz Valles Dietitian, Registered 279 Corry Vlg Apt 1, Gainesville, FL 32603-2134 2016-05-20
1811341035 Angela Young Dietitian, Registered 4455 Sw 34th St, Apt N76, Gainesville, FL 32608-7582 2016-04-14
1669831285 Jennifer Morris Bleiweis Dietitian, Registered 5055 Sw 91st Ter, Gainesville, FL 32608-7193 2016-02-11
Find all providers in GAINESVILLE

Competitor

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City GAINESVILLE
Zip Code 32641

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Dataset Information

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.

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