Individual provider Active NPI

Miranda Therese Crowley, RD, LD

  • Registered Dietitian
  • Columbus, OH
National Provider Identifier
1447821327
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD.09291 Issued in OH
Practice address
2780 Airport Dr Ste 100
Columbus, OH 43219-2289
Phone
(614) 645-5500
NPI assigned
Jul 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD.09291 OH Primary

Addresses

Primary practice location

2780 Airport Dr Ste 100
Columbus, OH 43219-2289

Mailing address

60 W Como Ave
Columbus, OH 43202-1026
Phone (216) 554-2562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211005002405 OH Practitioner - Registered Dietitian Or Nutrition Professional 7113325192 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Neighborhood Health Center Inc Current Accepting new patients
Columbus Neighborhood Health Center Inc CurrentSince Sep 29, 2021 Accepting new patients
Columbus Neighborhood Health Center Inc Current Accepting new patients
Columbus Neighborhood Health Center, Inc. Current Accepting new patients
Columbus Neighborhood Health Center Inc CurrentSince Sep 29, 2021 Accepting new patients
Columbus Neighborhood Health Center, Inc. Current Accepting new patients

Locations

600 N Pickaway St
Ste 300
Circleville, OH 43113
Phone (740) 207-4202

3433 Agler Rd
Ste 2800
Columbus, OH 43219
Phone (614) 645-1600

2300 W Broad St
Columbus, OH 43204
Phone (614) 645-2300

1500 E 17th Ave
Columbus, OH 43219
Phone (614) 645-2700

1791 Alum Creek Dr
Ste 100
Columbus, OH 43207
Phone (614) 526-5420

1180 E Main St
Columbus, OH 43205
Phone (614) 253-0861

4661 Sawmill Rd
Ste 101
Columbus, OH 43220
Phone (614) 526-3285

1905 Parsons Ave
Columbus, OH 43207
Phone (614) 586-4159

L3318
Columbus, OH 43260

240 Parsons Ave
Fl 2
Columbus, OH 43215
Phone (614) 645-7487

2780 Airport Dr
Ste 100
Columbus, OH 43219
Phone (614) 859-1906

Organizations & group practices 6

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": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1447821327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W COMO AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021026",
            "telephone_number": "216-554-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 AIRPORT DR STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432192289",
            "telephone_number": "614-645-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "MIRANDA",
        "middle_name": "THERESE",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.09291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.