Chrissy Crawford Nutritionist Fitness & Therapeutic Health Center L.L.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CHRISSY CRAWFORD NUTRITIONIST FITNESS & THERAPEUTIC HEALTH CENTER L.L.

Practice address

900 Rte. 168 Black Horse Pike
Blackwood, NJ 08012

Phone

(856) 208-6126

Fax

(856) 677-9585

NPI assigned

Jun 1, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrea Blake, CHCNPI 1487229415

Title

Heart Disease and Diabetes

Phone

(856) 208-6126

Specialties & licenses 2

Addresses

Electronic endpoints 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea S Blake, BLOODBORNE PATHOLOGI

  • Health & Wellness Coach
  • Egg Harbor Township, NJ
  • NPI 1487229415
  NPD Authorized official

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1922674977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6054 WILMINGTON AVE",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082346210",
            "telephone_number": "609-380-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 RTE. 168 BLACK HORSE PIKE",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "08012",
            "telephone_number": "856-208-6126",
            "fax_number": "856-677-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISSY CRAWFORD NUTRITIONIST FITNESS & THERAPEUTIC HEALTH CENTER L.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "HEART DISEASE AND DIABETES",
        "authorized_official_telephone_number": "856-208-6126",
        "authorized_official_credential": "CHC"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Norton",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "900 RTE. 168 Black Horse Pike",
            "city": "Blackwood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Norton",
            "affiliation": "N",
            "endpointDescription": "Norton",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "900 RTE. 168 Black Horse Pike",
            "city": "Blackwood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Blackwood, NJ
• Providers in Blackwood, NJ by specialty
• Multi-Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.