Crystal Michelle Duque, RDN

Primary specialty

Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X

License

LD009627 Issued in GA

Practice address

12236 Madison Dr
Atlanta, GA 30346-2472

Phone

(423) 737-8015

NPI assigned

Jul 12, 2023

Last updated

Jul 29, 2026By 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 2

Addresses

Other names 1

• Crystal Michelle Duque Professional name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ICDEAA

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.

• Internal Medicine Associates of Plano PA

  • Adult Medicine Physician
  • Plano, TX
  • NPI 1487817151

  Multi-Specialty

  Medicare reassignment NPD
• Wellness Reset, LLC

  • Registered Dietitian
  • McKinney, TX
  • NPI 1942035845

  Dietitian, Registered

  NPD Authorized official
• The Nutrition Edit LLC

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Atlanta, GA
  • NPI 1407778566

  Nutrition, Obesity and Weight Management

  NPD (past) Authorized official
• Arash Tirandaz MD PA

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1043480387

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1912686437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 PEACHTREE ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031202",
            "telephone_number": "423-737-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12236 MADISON DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303462472",
            "telephone_number": "423-737-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUQUE",
        "first_name": "CRYSTAL",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT88281",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "GA",
            "license": "LD009627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "DUQUE",
            "middle_name": "MICHELLE",
            "credential": "RDN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tisa W Dupree Bright, RN
• Kristerly C Dupree, CRNA
• Saeed Dupree
• Elizabeth Dupuis, MD
• Mark H Dupuis, MD
• Anissa Ahuja Durairaj, M.D.
• Rodrigo A Duralde, M.D.
• Xavier Ampuero Duralde, MD
• Anthony Duran
• Barbara Duran

• Obesity and Weight Management Nutrition Registered Dietitian in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Obesity and Weight Management Nutrition Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.