Active NPI
Kathleen Rogers Crytser, RD, LD
- Registered Dietitian
- Easley, SC
National Provider Identifier
1629214788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 469
- Practice address
- 1807A E Main St
Easley, SC 29640-3841 - Phone
- (864) 442-7482
- NPI assigned
- Dec 19, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 469 | SC | Primary |
Addresses
Primary practice location
1807A E Main St
Easley, SC 29640-3841
Mailing address
2247 Reedy Fork Rd.
Pelzer, SC 29669-9286
Phone (864) 243-9443
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
| License | State | Type | Specialty |
|---|---|---|---|
| 469 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229644800000",
"number": "1629214788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2247 REEDY FORK RD.",
"city": "PELZER",
"state": "SC",
"postal_code": "296699286",
"telephone_number": "864-243-9443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1807A E MAIN ST",
"city": "EASLEY",
"state": "SC",
"postal_code": "296403841",
"telephone_number": "864-442-7482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRYTSER",
"first_name": "KATHLEEN",
"middle_name": "ROGERS",
"name_prefix": "Mrs.",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-19",
"last_updated": "2008-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Easley, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.