Crystal Dawn Pelley, MS, RD, CDCES, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1542 Issued in OK

Practice address

2403 W Main St
Henryetta, OK 74437-3893

Phone

(918) 218-7505

NPI assigned

May 17, 2022

Last updated

May 17, 2022By 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX, OK2 enrollments

Enrollment records 2

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Creek Nation Community Hospital Hospital, Okemah, OK, CCN 371333

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Creek Nation Hospital & Clinics

  dba Creek Nation Community Hospital

  • Family Medicine Physician
  • Okemah, OK
  • NPI 1467053173

  TX

  Medicare reassignment Care Compare group NPD
• Creek Nation Hospital & Clinics

  dba Creek Nation Health System

  • Clinic/Center
  • Muskogee, OK
  • NPI 1366593923
  Medicare reassignment NPD
• Creek Nation Hospital & Clinics

  dba Muscogee (Creek) Nation Long Term Acute Care Hospital

  • Long Term Care Hospital
  • Okmulgee, OK
  • NPI 1376979955
  NPD
• Creek Nation Hospital & Clinics

  dba Muscogee Healing and Recovery Center

  • Clinic/Center
  • Muskogee, OK
  • NPI 1922873611
  NPD

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1851038244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 SW 5TH ST",
            "city": "CHECOTAH",
            "state": "OK",
            "postal_code": "744264419",
            "telephone_number": "918-689-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 W MAIN ST",
            "city": "HENRYETTA",
            "state": "OK",
            "postal_code": "744373893",
            "telephone_number": "918-218-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEY",
        "first_name": "CRYSTAL",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, CDCES, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "1542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crystal.pelley@hillcrest.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2403 W Main St",
            "city": "Henryetta",
            "state": "OK",
            "country_code": "US",
            "postal_code": "744373893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Max Edward Owen, PA
• Wesley E Parkhurst Jr., MD
• Path and Purpose Counseling, PLLC.
• Peak Medical Oklahoma No. 12, Inc. (Lake Drive Home)
• Garrett Pearson
• Alexis Perez Cadena
• PTMS 3.0, LLC (Physical Therapy Central of Henryetta)
• Quickmed Health (Quickmed Health LLC)
• Ryan Dean Randleman
• Stephanie A Rucquoy, APRN

• Registered Dietitian in Henryetta, OK
• Providers in Henryetta, OK by specialty
• Registered Dietitian in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.