Individual provider Active NPI

Anna Crum, RD

  • Registered Dietitian
  • Lakeland, FL
National Provider Identifier
1598221384
Registry record updated Feb 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND8797 Issued in FL
Practice address
5212 Wood Cir E
Lakeland, FL 33805-9537
Phone
(850) 339-4279
NPI assigned
Feb 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2019

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 ND8797 FL Primary

Addresses

Primary practice location

5212 Wood Cir E
Lakeland, FL 33805-9537

Mailing address

5212 Wood Cir E
Lakeland, FL 33805-9537
Phone (850) 339-4279

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240404000055 PA Practitioner - Registered Dietitian Or Nutrition Professional 5597103960 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ND8797FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Simplex Health Dietitian, Registered CurrentSince Feb 24, 2024 Accepting new patients
Adrian Chiu, PH.D., PLLC PastSince Dec 1, 2023 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

300 Brookside Ave
Bldg 4
Ambler, PA 19002
Phone (267) 702-4862

300 Brookside Ave
Bldg 18
Ambler, PA 19002
Phone (877) 842-2425

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.

NPI Registry JSON

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

{
    "created_epoch": "1550275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550275200000",
    "number": "1598221384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 WOOD CIR E",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338059537",
            "telephone_number": "850-339-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 WOOD CIR E",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338059537",
            "telephone_number": "850-339-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUM",
        "first_name": "ANNA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-16",
        "last_updated": "2019-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND8797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2019; 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.