Active NPI
Pamela Suzanne Crutsinger, R.D.
- Registered Dietitian
- Augusta, GA
National Provider Identifier
1356791487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 004482
- Practice address
- 1 Freedom Way
Augusta, GA 30904-6258 - Phone
- (706) 733-0188
- NPI assigned
- Jun 20, 2016
- 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 | 004482 | GA | Primary |
Addresses
Primary practice location
1 Freedom Way
Augusta, GA 30904-6258
Mailing address
1 Freedom Way
Augusta, GA 30904-6258
Phone (706) 733-0188
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
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | 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": "1466380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597104000000",
"number": "1356791487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FREEDOM WAY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309046258",
"telephone_number": "706-733-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 FREEDOM WAY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309046258",
"telephone_number": "706-733-0188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUTSINGER",
"first_name": "PAMELA",
"middle_name": "SUZANNE",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-20",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "004482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
- An'Tashyza Evelyn Ty'Nea Crump
- Monica Shonea Crumpler, LCSW
- Crumplers Counseling and Consulting Services LLC
- Courtney Tayler Crumpton, RD
- Candice M Cruse, LCSW
- John William Cruz, D.O.
- CS Health & Wellness of North Carolina, LLC
- CS Health & Wellness of Virginia, LLC
- CSB Community Mental Health Center of East Central Georgia
- CSB of East Cental Ga
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.