Crua Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

CRUA NUTRITION LLC

Practice address

74 Faunce Corner Rd Ste 630
Dartmouth, MA 02747-1209

Phone

(774) 377-9229

NPI assigned

Jul 11, 2024

Organization subpart

No

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

Authorized official

Name

Katlynn Kisla, MS, RDN, LDNNPI 1396244786

Title

Registered Dietitian/Owner

Phone

(508) 254-5639

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katlynn V. Kisla, RDN, LDN

  • Registered Dietitian
  • Rochester, MA
  • NPI 1396244786

  Dietitian, Registered

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1497592968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BENNETT RD",
            "city": "ROCHESTER",
            "state": "MA",
            "postal_code": "027701832",
            "telephone_number": "508-254-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 FAUNCE CORNER RD STE 630",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027471209",
            "telephone_number": "774-377-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUA NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "KISLA",
        "authorized_official_first_name": "KATLYNN",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN/OWNER",
        "authorized_official_telephone_number": "508-254-5639",
        "authorized_official_credential": "MS, RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Dartmouth, MA
• Providers in Dartmouth, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.