Active NPI
Kathy Jones Crotts, MS, RD, LDN
- Registered Dietitian
- Mocksville, NC
National Provider Identifier
1902042633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 125 Tom Crotts LN
Mocksville, NC 27028-5444 - Phone
- (336) 998-7364
- NPI assigned
- Dec 31, 2008
- Last updated
- Feb 16, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L003069 | NC | |
| Registered Dietitian | 133V00000X | NU | Primary |
Addresses
Primary practice location
125 Tom Crotts LN
Mocksville, NC 27028-5444
Mailing address
125 Tom Crotts LN
Mocksville, NC 27028-5444
Phone (336) 817-8991
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)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Registered Dietitian
- Mocksville, NC
- NPI 1851017123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1902042633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 TOM CROTTS LN",
"city": "MOCKSVILLE",
"state": "NC",
"postal_code": "270285444",
"telephone_number": "336-817-8991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 TOM CROTTS LN",
"city": "MOCKSVILLE",
"state": "NC",
"postal_code": "270285444",
"telephone_number": "336-998-7364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROTTS",
"first_name": "KATHY",
"middle_name": "JONES",
"name_prefix": "Mrs.",
"credential": "MS, RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-31",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L003069",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mocksville, NC
- County of Davie (Davie County EMS)
- County of Davie Office of Finance Agent (Davie County Health Department & Home Health Agency)
- County of Davie Office of Finance Agent (Davie County Health Department)
- County of Davie Office of Finance Agent (Davie County Behavioral Health Services)
- Amelia Olweean Craver, PA-C
- Renard Cuthbertson
- Davie Co Emergency Health Corp (Farmington Family Practice)
- Davie County Board of Education
- Davie County Emergency Health Corp (Davie county hospital & wake Forest Baptist Health-Davie)
- Davie County Emergency Health Corp (Davie County Hospital & Wake Forest Baptist health-Davie)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.