Active NPI
Marguerite Crosby, RD
- Registered Dietitian
- Park City, UT
National Provider Identifier
1861035743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 11501164-4901
- Practice address
- 17 Hidden CT
Park City, UT 84060-8836 - Phone
- (435) 647-6566
- NPI assigned
- Oct 23, 2019
- Last updated
- Oct 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 11501164-4901 | UT | Primary |
Addresses
Primary practice location
17 Hidden CT
Park City, UT 84060-8836
Mailing address
PO Box 681655
Park City, UT 84068-1655
Phone (435) 647-6566
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11501164-4901 | UT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1861035743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 681655",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840681655",
"telephone_number": "435-647-6566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 HIDDEN CT",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840608836",
"telephone_number": "435-647-6566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSBY",
"first_name": "MARGUERITE",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-23",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "UT",
"license": "11501164-4901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Park City, UT
- Brittany Elizabeth Coyle, M.A. BCBA
- Ryan Patrick Coyle, OD
- Leslie Clark Crabb
- Creek Capital Park City LLC (Burg Children's Dentistry & Orthodontics- Park City)
- Geoffrey Matthew Crockett, MD
- Stephanie Croteau, PHARMD
- Michelle R Croyle, PA-C
- Kirsten Cummings, CMHC
- Holly Elizabeth Cunningham
- Deborah Deena Cupal, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.