Active NPI
Christina M Crowder Anderson, RDN
- Registered Dietitian
- Cheyenne, WY
National Provider Identifier
1033661525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2197
- Practice address
- 1321 Concerto LN
Cheyenne, WY 82007-3697 - Phone
- (918) 899-6059
- Fax
- (888) 231-6240
- NPI assigned
- Oct 31, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 304 | WY | |
| Registered Dietitian | 133V00000X | 2197 | OK | Primary |
Addresses
Primary practice location
1321 Concerto LN
Cheyenne, WY 82007-3697
Mailing address
1321 Concerto LN
Cheyenne, WY 82007-3697
Phone (918) 899-6059
Other names 1
- Miss Christina Marie Crowder
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2197 | OK | MD | Registered Dietitian |
| 304 | WY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christina Anderson RDN LLC | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1033661525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 CONCERTO LN",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820073697",
"telephone_number": "918-899-6059",
"fax_number": "888-231-6240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 CONCERTO LN",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820073697",
"telephone_number": "918-899-6059",
"fax_number": "888-231-6240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWDER ANDERSON",
"first_name": "CHRISTINA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-31",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WY",
"license": "304",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "2197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "CROWDER",
"middle_name": "MARIE",
"prefix": "MISS",
"credential": "RDN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.