Active NPI
Hailey Crean, MS, RD, CDE
- Registered Dietitian
- Newton Highlands, MA
National Provider Identifier
1275774838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3594
- Practice address
- 24 Walnut PL
Newton Highlands, MA 02461-1717 - Phone
- (206) 708-9523
- NPI assigned
- Mar 11, 2009
- Sex
- Female
- Sole proprietor
- No
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 | DX2832 | MD | |
| Registered Dietitian | 133V00000X | 3594 | MA | Primary |
Addresses
Primary practice location
24 Walnut PL
Newton Highlands, MA 02461-1717
Mailing address
24 Walnut PL
Newton Highlands, MA 02461-1717
Phone (206) 708-9523
Other practice location 1
201 E University Pkwy
33rd St Building Suite #501
Baltimore, MD 21218-2829
Phone (805) 708-5605
Other names 1
- Hailey Mack
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3594 | MA | MD | Registered Dietitian |
| DX2832 | MD | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strategic Nutrition | 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": "1236729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586908800000",
"number": "1275774838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 WALNUT PL",
"city": "NEWTON HIGHLANDS",
"state": "MA",
"postal_code": "024611717",
"telephone_number": "206-708-9523",
"fax_number": "833-893-0629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 WALNUT PL",
"city": "NEWTON HIGHLANDS",
"state": "MA",
"postal_code": "024611717",
"telephone_number": "206-708-9523"
}
],
"practiceLocations": [
{
"address_1": "201 E University Pkwy",
"address_2": "33rd St Building Suite #501",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212182829",
"country_code": "US",
"telephone_number": "805-708-5605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CREAN",
"first_name": "HAILEY",
"credential": "MS, RD, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-11",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "DX2832",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "3594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HAILEY",
"last_name": "MACK",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Newton Highlands, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.