Kristi Nicole Crawford, R.D.N.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1022064 Issued in CA

Practice address

34112 Pinehurst Dr
Yucaipa, CA 92399-6938

Phone

(909) 262-6670

NPI assigned

Dec 14, 2010

Last updated

Jun 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kristi Mixon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1508169475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34112 PINEHURST DR",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923996938",
            "telephone_number": "909-262-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34112 PINEHURST DR",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923996938",
            "telephone_number": "909-262-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "KRISTI",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "R.D.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-14",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1022064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "MIXON",
            "credential": "R.D.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Registered Dietitian in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.