Active NPI
Crystal Renea Seals, RD, LDN. CDE
- Registered Dietitian
- Lower Gwynedd, PA
National Provider Identifier
1649467499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN003599
- Practice address
- 714 N Bethlehem Pike
Suite 300
Lower Gwynedd, PA 19002-2655 - Phone
- (215) 283-2833
- NPI assigned
- Sep 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | DN003599 | PA | Primary |
Addresses
Primary practice location
714 N Bethlehem Pike
Suite 300
Lower Gwynedd, PA 19002-2655
Mailing address
501 W Hortter St
A1
Philadelphia, PA 19119-3654
Phone (267) 297-6251
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN003599 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380240000000",
"number": "1649467499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 W HORTTER ST",
"address_2": "A1",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191193654",
"telephone_number": "267-297-6251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 N BETHLEHEM PIKE",
"address_2": "SUITE 300",
"city": "LOWER GWYNEDD",
"state": "PA",
"postal_code": "190022655",
"telephone_number": "215-283-2833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEALS",
"first_name": "CRYSTAL",
"middle_name": "RENEA",
"name_prefix": "Ms.",
"credential": "RD, LDN. CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-26",
"last_updated": "2013-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN003599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lower Gwynedd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.