Mary D Crumpton, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L001650 Issued in NC

Practice address

1107 S Main St
Reidsville, NC 27320-5313

Phone

(336) 349-1088

NPI assigned

Mar 29, 2011

Last updated

Apr 24, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Piedmont Triad Regional Council

  • Community/Behavioral Health Agency
  • Yanceyville, NC
  • NPI 1124514633
  NPD (past)

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1679862890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E WENDOVER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011230",
            "telephone_number": "369-514-7313",
            "fax_number": "336-904-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S MAIN ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205313",
            "telephone_number": "336-349-1088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E Wendover Ave Ste 415",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011211",
            "country_code": "US",
            "telephone_number": "336-951-4731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUMPTON",
        "first_name": "MARY",
        "middle_name": "D",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L001650",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "727007",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Randall Cothran, CSAC
• Mark Christopher Cotter, O.D.
• Frances Hough Cresenzo-Dishmon, CNM
• Mark S Cresenzo, M.D.
• Angela Crouch
• Curis at Reidsville Opco LLC (Curis at Reidsville Transitional Care & Rehabilitation Center)
• Karen E Daniel, CRNA
• Daphne's Family Care Home
• Angelica Marcia Davis, RN
• Jacqueline Davis, RDN, LDN, IBCLC

• Registered Dietitian in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.