Individual provider Active NPI

Crystal Renee' Rudiger, MS, RDN

  • Registered Dietitian
  • Franklin, TN
National Provider Identifier
1811676232
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
898367 Issued in TX
Practice address
1265 Columbia Ave
Franklin, TN 37064-3639
Phone
(615) 794-9155
NPI assigned
Jul 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 898367 TX Primary

Addresses

Primary practice location

1265 Columbia Ave
Franklin, TN 37064-3639

Mailing address

110 Glass Springs Dr
Franklin, TN 37064-8625
Phone (817) 296-0267

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
898367TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Mason Chiropractic Health & Wellness Inc CurrentSince Jul 16, 2023 Accepting new patients

Locations

1265 Columbia Ave
Franklin, TN 37064
Phone (615) 794-9155

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": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1811676232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 GLASS SPRINGS DR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370648625",
            "telephone_number": "817-296-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 COLUMBIA AVE",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370643639",
            "telephone_number": "615-794-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDIGER",
        "first_name": "CRYSTAL",
        "middle_name": "RENEE'",
        "name_prefix": "Mrs.",
        "credential": "MS, RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "898367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.