Individual provider Active NPI

Bethany Crask, RD

  • Registered Dietitian
  • Bowling Green, KY
National Provider Identifier
1073110169
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
266875 Issued in KY
Practice address
1109 State St
Bowling Green, KY 42101-2648
Phone
(270) 781-8039
NPI assigned
Oct 2, 2020
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 266875 KY Primary

Addresses

Primary practice location

1109 State St
Bowling Green, KY 42101-2648

Mailing address

457 Coombs Dr
Bowling Green, KY 42101-1124
Phone (502) 475-7332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201215002585 KY Practitioner - Registered Dietitian Or Nutrition Professional 4880006832 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Barren River District Health Department Current Accepting new patients
Barren River District Health Department CurrentSince Jan 1, 2020 Accepting new patients
Barren River District Health Department Current Accepting new patients
Barren River District Health Department Current Accepting new patients
Barren River District Health Department Current Accepting new patients
Barren River District Health Department Current Accepting new patients
Barren River District Health Department CurrentSince Jan 1, 2020 Accepting new patients
Barren River District Health Department Current Accepting new patients
Bowling Green-Warren County Community Hospital Corporation Dietitian, Registered CurrentSince Jul 10, 2023 Accepting new patients
Bowling Green-Warren County Community Hospital Corporation CurrentSince Jul 10, 2023 Accepting new patients

Locations

1109 State St
Bowling Green, KY 42101
Phone (270) 781-2490

740 E 10th Ave
Bowling Green, KY 42101
Phone (270) 745-1010

221 Mammoth Cave Rd
Brownsville, KY 42210
Phone (270) 597-2194

1131 S College St
Franklin, KY 42134
Phone (270) 586-8261

200 S Green St
Glasgow, KY 42141
Phone (270) 651-8321

104 N Warren St
Morgantown, KY 42261
Phone (270) 526-3221

151 S Franklin St
Russellville, KY 42276
Phone (270) 726-8341

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1073110169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 COOMBS DR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011124",
            "telephone_number": "502-475-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 STATE ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012648",
            "telephone_number": "270-781-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRASK",
        "first_name": "BETHANY",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "266875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.