MRS. KRYSTEN NYKOLE CRADDOCK (NPI# 1659849602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659849602 |
| Entity Type | Individual |
| Full Name | MRS. KRYSTEN NYKOLE CRADDOCK |
| Credential | RDN |
| Practice Address |
36 Klondike Rd Republic WA 99166-9701 |
| Mailing Address |
1049 Sunny Brook Way Addy WA 99101-6000 |
| Practice Telephone | 5097753333 |
| Mailing Telephone | 5099912324 |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2018-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1018437 | WA | Dietary & Nutritional Service Providers |
| Street Address |
36 KLONDIKE RD |
| City | REPUBLIC |
| State | WA |
| Zip Code | 99166-9701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508899816 | Ferry County Public Hospital District No 1 | General Acute Care Hospital | 36 Klondike Rd, Republic, WA 99166-9701 | 2006-07-09 |
| 1952598427 | Jeannette Arlene Bauer | Nurse Practitioner | 36 Klondike Rd, Republic, WA 99166-9701 | 2007-09-28 |
| 1154521615 | Ferry County Hospital District #1 | General Acute Care Hospital | 36 Klondike Rd, Republic, WA 99166-9701 | 2007-07-23 |
| 1508086141 | Ferry County Public Hospital District No 1 | General Acute Care Hospital | 36 Klondike Rd, Republic, WA 99166-9701 | 2007-04-26 |
| 1255343141 | Mari S Hunter | Nurse Practitioner | 36 Klondike Rd, Republic, WA 99166-5002 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073976593 | Rachel S Flesher | Doula | 143 N Kauffman St, Republic, WA 99166 | 2016-04-01 |
| 1144534959 | Ferry County Sheriff | Non-emergency Medical Transport (VAN) | 175 North Jefferson, Republic, WA 99166 | 2010-08-04 |
| 1558539734 | Barnaby David Denison | Adult Companion | 42 Klondike Road, Republic, WA 99166 | 2008-02-11 |
| 1205057387 | Robert Walter Hardwick Jr. | Dentist | 194 North Portland St., Republic, WA 99166 | 2007-05-02 |
| 1952438665 | Clara Denise Wisener | Massage Therapist | 720 S Clark Ave, Republic, WA 99166 | 2007-02-28 |
| 1356476477 | Ferry County Emergency Medical Service District 1 | Ambulance | 979 South Clark Ave, 205, Republic, WA 99166 | 2007-02-22 |
| 1457496184 | Ronald L Casebeer | Counselor | 65 North Keller Street, Republic, WA 99166 | 2007-02-20 |
| 1669562047 | Ferry County Counseling Services | Community/Behavioral Health | 147 N. Clark Ave #12, Republic, WA 99166 | 2006-10-13 |
| 1679049258 | Sarah Kw Spark | Counselor | 65 N Keller, Republic, WA 99166 | 2018-10-22 |
| 1952766503 | Angie Tietsort | Massage Therapist | 28 North Keller Street, Republic, WA 99166 | 2015-12-28 |
| Find all providers in zip 99166 | ||||
| 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 |
|---|---|---|---|---|
| 1275134256 | Hannah Baillie | Dietitian, Registered | 11651 Se 58th St, Bellevue, WA 98006-3722 | 2020-11-05 |
| 1629679949 | Renewtrition, LLC | Dietitian, Registered | 4239 Evanston Ave N, Seattle, WA 98103-7206 | 2020-11-03 |
| 1144821620 | Sydney Marie Carroll | Dietitian, Registered | 1818 E Mercer St Ste 103, Seattle, WA 98112-4689 | 2020-11-03 |
| 1598365876 | Michelle Irene Howe | Dietitian, Registered | 14808 23rd Ave Ne, Arlington, WA 98223-9701 | 2020-10-27 |
| 1306445150 | Healthy Bodies Nutrition | Dietitian, Registered | 12808 E Apache Pass Rd, Spokane, WA 99206-9309 | 2020-10-22 |
| 1487253621 | Ellen Kim Cho | Dietitian, Registered | 530 Rosewood Dr Sw, Olympia, WA 98502-2686 | 2020-10-20 |
| 1427656925 | Jeannie Lise Belle Castell | Dietitian, Registered | 4229 Glen Terra Dr Se, Olympia, WA 98503-7165 | 2020-10-15 |
| 1104424845 | Mariia Byelykh | Dietitian, Registered | 20113 3rd Ave Se, Bothell, WA 98012-4521 | 2020-10-14 |
| 1629676499 | Shelley Lea Barnhart | Dietitian, Registered | 24315 Se 196th St, Maple Valley, WA 98038-8975 | 2020-10-14 |
| 1235737115 | Beth Ann Smith | Dietitian, Registered | 130 Teal Ln, Eastsound, WA 98245-5077 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
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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.