Crystal Castle

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

5850 Cullen Rd
Fenton, MI 48430-9392

Phone

(248) 860-5445

NPI assigned

Jun 26, 2015

Last updated

Jun 26, 2015By the provider in NPPES

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

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1831571868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 CULLEN RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484309392",
            "telephone_number": "248-860-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 CULLEN RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484309392",
            "telephone_number": "248-860-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTLE",
        "first_name": "CRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Carpenter, LPC
• Deborah Carter, LPC
• Glenn B. Carter, DMD
• Andrea W Casey, PHD
• Ashley Hasan Casey, DPM, MSW
• CBM Health Care Inc
• CC Rehab
• Christopher Weston Cenzer, DO
• Rania Chadid, PHARMD
• Char Combs Rehabilitation and Consultation Services Inc

• Nutritionist in Fenton, MI
• Providers in Fenton, MI by specialty
• Nutritionist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.