Stacy Lynette Crase, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1672 Issued in KY

Practice address

108 12TH St
Foothills Health and Wellness Center
Clay City, KY 40312-8979

Phone

(606) 663-9011

Fax

(606) 663-9012

NPI assigned

Jan 31, 2007

Last updated

Feb 29, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Powell County Health Department

  • Public Health or Welfare Agency
  • Stanton, KY
  • NPI 1699812438
  NPD
• Kentucky River Foothills Development Council, Inc.

  dba Foothills Behavioral Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Irvine, KY
  • NPI 1346874054
  NPD (past)
• Kentucky River Foothills Development Council, Inc.

  dba Foothills Health and Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Clay City, KY
  • NPI 1366713000
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1649317199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 12TH ST",
            "address_2": "FOOTHILLS HEALTH AND WELLNESS CENTER",
            "city": "CLAY CITY",
            "state": "KY",
            "postal_code": "403128979",
            "telephone_number": "606-663-9011",
            "fax_number": "606-663-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 12TH ST",
            "address_2": "FOOTHILLS HEALTH AND WELLNESS CENTER",
            "city": "CLAY CITY",
            "state": "KY",
            "postal_code": "403128979",
            "telephone_number": "606-663-9011",
            "fax_number": "606-663-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRASE",
        "first_name": "STACY",
        "middle_name": "LYNETTE",
        "name_prefix": "Ms.",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "1672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20099016",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audreanna Barnett, APRN
• Andrea Beth Brooks, LPCC
• Christina Busse
• Clay City Pediatrics, PSC
• Leslie Rae Cordial, APRN
• Creekside Child Development Services Inc
• Sandra Crum-Stevens, DMD
• Lelia Elam, R.D.
• Felicia Estes, APRN, FNP-BC
• Sasha Flinchum

• Registered Dietitian in Clay City, KY
• Providers in Clay City, KY by specialty
• Registered Dietitian in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.