Active NPI
Candice Krasuski, RDN, LDN
- Registered Dietitian
- Charlotte, NC
National Provider Identifier
1336787084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 101 E W T Harris Blvd Ste 2122B
Charlotte, NC 28262-3485 - Phone
- (704) 863-5713
- NPI assigned
- Dec 12, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
101 E W T Harris Blvd Ste 2122B
Charlotte, NC 28262-3485
Mailing address
825 Lake Park Dr Apt 304
Davidson, NC 28036-5542
Phone (910) 547-0158
Other practice location 1
16623 Birkdale Commons Pkwy Ste 110
Huntersville, NC 28078-5622
Phone (704) 820-2872
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | 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": "1576108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581033600000",
"number": "1336787084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 LAKE PARK DR APT 304",
"city": "DAVIDSON",
"state": "NC",
"postal_code": "280365542",
"telephone_number": "910-547-0158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E W T HARRIS BLVD STE 2122B",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282623485",
"telephone_number": "704-863-5713"
}
],
"practiceLocations": [
{
"address_1": "16623 Birkdale Commons Pkwy Ste 110",
"address_purpose": "LOCATION",
"city": "Huntersville",
"state": "NC",
"postal_code": "280785622",
"country_code": "US",
"telephone_number": "704-820-2872",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRASUSKI",
"first_name": "CANDICE",
"credential": "RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-12",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.