Crystal McIntyre-Porter, MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT86570 Issued in TX

Practice address

3012 Donner Lake Cir
Denton, TX 76210-2900

Phone

(972) 804-2754

NPI assigned

Sep 2, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: crystalmcintyre-porter@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

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  NPD
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1770197238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 DONNER LAKE CIR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762102900",
            "telephone_number": "972-804-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 DONNER LAKE CIR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762102900",
            "telephone_number": "972-804-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE-PORTER",
        "first_name": "CRYSTAL",
        "credential": "MS, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT86570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Blair McGraw, LCSW, LPC
• Patricia A McGregor, PH.D.
• Brittney McGrew, OTR
• Timothy Christian McGuire, MD
• Grace Elizabeth McIntosh, DPT
• Morgan McKay, BCBA
• Shannon L McKeown, RN, FNP-C
• Caitlyn McKey
• Joi M. McKinney, D.D.S.
• Katherine McKinney, RBT

• Registered Dietitian in Denton, TX
• Providers in Denton, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.