Individual provider Active NPI

Kristen Crowley, MS, RD, LDN

  • Registered Dietitian
  • Lafayette, LA
National Provider Identifier
1649934878
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2933 Issued in LA
Practice address
1921 Kaliste Saloom Rd Ste 117
Lafayette, LA 70508-6183
Phone
(337) 210-5827
NPI assigned
Oct 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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 2933 LA Primary

Addresses

Primary practice location

1921 Kaliste Saloom Rd Ste 117
Lafayette, LA 70508-6183

Mailing address

411 Black Water River Dr
Lafayette, LA 70508-1725
Phone (337) 344-2069

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220203000627 LA Practitioner - Registered Dietitian Or Nutrition Professional 4486047008 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elizabeth Champagne LLCGroup PAC ID 6002031929, 2 clinicians

Practice addresses (Care Compare)

1921 Kaliste Saloom Rd
Suite 117
Lafayette, LA 70508-6183
Phone (337) 210-5827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2933LAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Champagne, LLC Dietitian, Registered CurrentSince Nov 1, 2021 Accepting new patients
Lafayette Arthritis and Endocrine Clinic Apmc CurrentSince Feb 1, 2024 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

1921 Kaliste Saloom Rd
Ste 117
Lafayette, LA 70508
Phone (337) 210-5827

4212 W Congress St
Ste 2300A
Lafayette, LA 70506
Phone (337) 237-7801

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBHACA

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": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1649934878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 BLACK WATER RIVER DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705081725",
            "telephone_number": "337-344-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 KALISTE SALOOM RD STE 117",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086183",
            "telephone_number": "337-210-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "KRISTEN",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "2933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.