Individual provider Active NPI

Krystle Thomas Holt, RDN, LDN

  • Registered Dietitian
  • Cullowhee, NC
National Provider Identifier
1669828885
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L004714 Issued in NC
Practice address
594 Centennial Dr
Cullowhee, NC 28723-1589
Phone
(828) 330-9903
Fax
(833) 492-5875
NPI assigned
May 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86039659
Registered Dietitian 133V00000X L004714 NC Primary

Addresses

Primary practice location

594 Centennial Dr
Cullowhee, NC 28723-1589

Mailing address

745 Holly Hills Rd
Sylva, NC 28779-6964

Other names 1

  • Krystle Brooke Thomas Former name

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

LicenseStateTypeSpecialty
L004714NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Smoky Mountain Sports Medicine & Physical Therapy, Inc. CurrentSince Oct 25, 2020 Accepting new patients
Teladoc Health Medical Group, P.a. Dietitian, Registered Current Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Cloud Health Medical Group of New Jersey, P.C. Past Accepting new patients
Henry Ford Health Rochester Hospital Past Accepting new patients
Everfit Inc Dietitian, Registered Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: krystleholt@tdh.allscriptsdirect.net

Organizations & group practices 6

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": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1669828885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 HOLLY HILLS RD",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287796964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 CENTENNIAL DR",
            "city": "CULLOWHEE",
            "state": "NC",
            "postal_code": "287231589",
            "telephone_number": "828-330-9903",
            "fax_number": "833-492-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "KRYSTLE",
        "middle_name": "THOMAS",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86039659",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L004714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTLE",
            "last_name": "THOMAS",
            "middle_name": "BROOKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cullowhee, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.