Jessica L Crandall, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

7564 S Xenia CT
Centennial, CO 80112-2730

Phone

(303) 562-4500

NPI assigned

Apr 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica L Snyder Other name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Vital Rd LLCGroup PAC ID 7416343926, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Vital Rd LLC

  • Family Nurse Practitioner
  • Centennial, CO
  • NPI 1326620758
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1760447650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7564 S XENIA CT",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122730",
            "telephone_number": "303-562-4500",
            "fax_number": "833-875-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7564 S XENIA CT",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122730",
            "telephone_number": "303-562-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDALL",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SNYDER",
            "middle_name": "L",
            "credential": "RD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Barrett E Cowan, M.D.
• Robert Bruce Cowan Jr., M.D.
• Stephanie Cowley-Thompson, FNP-C
• Catherine Cox, LMT
• M Mary Coyle, SLP
• Todd M. Crandall, D.D.S.
• Emma Crary, OTR/L
• Jerry Crawford, D.D.S.
• Linda Crawford
• Emma Grace Creath, M.S., CCC-SLP

• Registered Dietitian in Centennial, CO
• Providers in Centennial, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.