Deanna Dae Crismon, MS, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD003645 Issued in GA

Practice address

511 Ragsdale Ter
Woodstock, GA 30188-4463

Phone

(404) 729-9415

NPI assigned

Oct 2, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Networks

• devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
• devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1003413162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 RAGSDALE TER",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884463",
            "telephone_number": "404-729-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 RAGSDALE TER",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884463",
            "telephone_number": "404-729-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISMON",
        "first_name": "DEANNA",
        "middle_name": "DAE",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD003645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "1deannadae@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "1deannadae@gmail.com",
            "address_1": "511 Ragsdale Ter",
            "city": "Woodstock",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301884463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shelby Lynn Crane, PT, DPT
• Taylor Crawley
• Creative Pieces Behavior Associates
• Annette Mock Crenshaw
• Benjamin Crickenberger
• Cal Criswell, DC
• Julie Ana Crittendon, PH.D.
• Sarah Crombez
• Courtney Marie Crook, MSN, APRN, FNP-C
• Helen E Croot, LMSW

• Registered Dietitian in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.