Active NPI
Priscilla L McCrea, RD
- Registered Dietitian
- Merced, CA
National Provider Identifier
1679172878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1037038
- Practice address
- 1000 W Yosemite Ave
Merced, CA 95348-5111 - Phone
- (209) 421-0841
- NPI assigned
- Oct 20, 2020
- 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 | 1037038 | CA | Primary |
Addresses
Primary practice location
1000 W Yosemite Ave
Merced, CA 95348-5111
Mailing address
PO Box 1370
Atwater, CA 95301-1370
Phone (209) 421-0841
Other practice location 1
1798 Johnny Ave
Atwater, CA 95301-9116
Phone (209) 421-0841
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 |
|---|---|---|---|
| 1037038 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutricius Consulting Services | Dietitian, Registered | Current | Accepting new patients |
Locations
1000 W Yosemite Ave
Merced, CA 95348
Phone (209) 349-8459
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": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1679172878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1370",
"city": "ATWATER",
"state": "CA",
"postal_code": "953011370",
"telephone_number": "209-421-0841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W YOSEMITE AVE",
"city": "MERCED",
"state": "CA",
"postal_code": "953485111",
"telephone_number": "209-421-0841"
}
],
"practiceLocations": [
{
"address_1": "1798 Johnny Ave",
"address_purpose": "LOCATION",
"city": "Atwater",
"state": "CA",
"postal_code": "953019116",
"country_code": "US",
"telephone_number": "209-421-0841",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCREA",
"first_name": "PRISCILLA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-20",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "1037038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.