Individual provider Active NPI

Daniela Veras Crabill, MS, RD

  • Registered Dietitian
  • San Jose, CA
National Provider Identifier
1225603178
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86110087 Issued in CA
Practice address
1382 Stockbridge Dr
San Jose, CA 95130-1252
Phone
(408) 834-0371
NPI assigned
May 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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 86110087 CA Primary

Addresses

Primary practice location

1382 Stockbridge Dr
San Jose, CA 95130-1252

Mailing address

1382 Stockbridge Dr
San Jose, CA 95130-1252
Phone (408) 834-0371

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86110087CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1225603178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1382 STOCKBRIDGE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951301252",
            "telephone_number": "408-834-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1382 STOCKBRIDGE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951301252",
            "telephone_number": "408-834-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRABILL",
        "first_name": "DANIELA",
        "middle_name": "VERAS",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86110087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.