Active NPI
Crystal R. Barrows, RD
- Renal Nutrition Registered Dietitian
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- 970809
- Practice address
- 3100 W Ray Rd Ste 201
Chandler, AZ 85226-2472 - Phone
- (623) 399-6825
- Fax
- (623) 505-3474
- NPI assigned
- May 15, 2007
- 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 |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | 970809 | AZ | Primary |
Addresses
Primary practice location
3100 W Ray Rd Ste 201
Chandler, AZ 85226-2472
Mailing address
18001 N 79TH Ave Ste A12
Glendale, AZ 85308-8398
Phone (623) 399-6825
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ LICENSE | Other | AZ | 970809 |
| 212447 | Medicaid | AZ |
Other names 1
- Miss Crystal R Barraza
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1910 S Stapley Dr
Suite 221
Mesa, AZ 85204-6680
Phone (623) 399-6825
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 970809 | AZ | MD | Renal Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Am Nutrition Services | Dietitian, Registered | Current | Accepting new patients |
| Akdhc, LLC | Past | Accepting new patients | |
| Akdhc, LLC | Past | Accepting new patients |
Locations
3100 W Ray Rd
Ste 200
Chandler, AZ 85226
3100 W Ray Rd
Ste 201
Chandler, AZ 85226
Phone (269) 312-1446
18001 N 79th Ave
Ste A12
Glendale, AZ 85308
Phone (623) 321-5380
1910 S Stapley Dr
Ste 221
Mesa, AZ 85204
Phone (480) 573-2262
Organizations & group practices 3
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.
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- NPI 1164822318
-
- Nephrology Physician
- Phoenix, AZ
- NPI 1316902208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1447466610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18001 N 79TH AVE STE A12",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088398",
"telephone_number": "623-399-6825",
"fax_number": "623-505-3474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 W RAY RD STE 201",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852262472",
"telephone_number": "623-399-6825",
"fax_number": "623-505-3474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARROWS",
"first_name": "CRYSTAL",
"middle_name": "R.",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "AZ",
"license": "970809",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "970809",
"identifier": "AZ LICENSE",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "212447",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CRYSTAL",
"last_name": "BARRAZA",
"middle_name": "R",
"prefix": "MISS",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.