Individual provider Active NPI

Cheryl Crance, RD, CD

  • Registered Dietitian
  • Everett, WA
National Provider Identifier
1265604169
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI00002030 Issued in WA
Practice address
1001 N Broadway
Suite a-3
Everett, WA 98201-1586
Phone
(425) 317-0300
Fax
(425) 317-0303
NPI assigned
Mar 31, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Dietary Manager 132700000X DI00002030 WA
Nutritionist 133N00000X DI00002030 WA
Nutrition Education Nutritionist 133NN1002X DI00002030 WA
Registered Dietitian 133V00000X DI00002030 WA Primary
Pediatric Nutrition Registered Dietitian 133VN1004X DI00002030 WA
Renal Nutrition Registered Dietitian 133VN1005X DI00002030 WA
Metabolic Nutrition Registered Dietitian 133VN1006X DI00002030 WA
Registered Dietetic Technician 136A00000X DI00002030 IL

Addresses

Primary practice location

1001 N Broadway
Suite a-3
Everett, WA 98201-1586

Mailing address

909 N Broadway
Pbo
Everett, WA 98201-1409
Phone (425) 317-0264

Other identifiers 1

IdentifierTypeStateIssuer
DI00002030OtherWAWASHINGTON STATE LICENSE

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

LicenseStateTypeSpecialty
DI00002030WAMDRegistered Dietitian
DI00002030ILMDRegistered Dietetic Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services-Washington Past 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": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1265604169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 N BROADWAY",
            "address_2": "PBO",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011409",
            "telephone_number": "425-317-0264",
            "fax_number": "425-317-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N BROADWAY",
            "address_2": "SUITE A-3",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011586",
            "telephone_number": "425-317-0300",
            "fax_number": "425-317-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANCE",
        "first_name": "CHERYL",
        "credential": "RD, CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "",
            "desc": "Dietary Manager",
            "state": "WA",
            "license": "DI00002030",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "DI00002030",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "WA",
            "license": "DI00002030",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00002030",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "WA",
            "license": "DI00002030",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "WA",
            "license": "DI00002030",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "WA",
            "license": "DI00002030",
            "primary": false
        },
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": "IL",
            "license": "DI00002030",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE LICENSE",
            "identifier": "DI00002030",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.