Active NPI
Crystal A McLean, MS, RDN, LDN
- Registered Dietitian
- Raleigh, NC
National Provider Identifier
1376372771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L008070
- Practice address
- 5306 Six Forks Rd Ste 107
Raleigh, NC 27609-4468 - Phone
- (919) 594-4848
- NPI assigned
- Aug 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | L008070 | NC | Primary |
Addresses
Primary practice location
5306 Six Forks Rd Ste 107
Raleigh, NC 27609-4468
Mailing address
306 Six Forks Road
Ste 107 #1055
Raleigh, NC 27609-4468
Phone (919) 594-4848
Other practice location 1
1416 Hatherleigh Ct
Raleigh, NC 27612-6940
Phone (919) 594-4848
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
| License | State | Type | Specialty |
|---|---|---|---|
| L008070 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1376372771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 SIX FORKS ROAD",
"address_2": "STE 107 #1055",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094468",
"telephone_number": "919-594-4848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5306 SIX FORKS RD STE 107",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094468",
"telephone_number": "919-594-4848"
}
],
"practiceLocations": [
{
"address_1": "1416 Hatherleigh Ct",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276126940",
"country_code": "US",
"telephone_number": "919-594-4848",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCLEAN",
"first_name": "CRYSTAL",
"middle_name": "A",
"credential": "MS, RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-01",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L008070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.