Individual provider Active NPI

Diana M Croxton, RD

  • Renal Nutrition Registered Dietitian
  • Stuart, FL
National Provider Identifier
1508974411
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
ND208 Issued in FL
Practice address
2348 SE Ocean Blvd
Treasure Coast Kidney Ctr - North - CKD Services
Stuart, FL 34996-3310
Phone
(772) 286-2470
Fax
(772) 223-5829
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X ND208 FL Primary

Addresses

Primary practice location

2348 SE Ocean Blvd
Treasure Coast Kidney Ctr - North - CKD Services
Stuart, FL 34996-3310

Mailing address

663 SW Woodside Dr
Palm City, FL 34990-4333
Phone (772) 283-4954

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

State licenses

LicenseStateTypeSpecialty
ND208FLMDRenal Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1508974411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 SW WOODSIDE DR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349904333",
            "telephone_number": "772-283-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2348 SE OCEAN BLVD",
            "address_2": "TREASURE COAST KIDNEY CTR - NORTH - CKD SERVICES",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963310",
            "telephone_number": "772-286-2470",
            "fax_number": "772-223-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROXTON",
        "first_name": "DIANA",
        "middle_name": "M",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "FL",
            "license": "ND208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.