Stanley Todd Crocker, RD

Primary specialty

Gerontological Nutrition Registered DietitianTaxonomy code 133VN1101X

License

DIET.DI.70161150 Issued in WA

Practice address

850 W Maple St
Medical Lake, WA 99022-5139

Phone

(509) 565-4000

NPI assigned

Sep 10, 2026

Last updated

Sep 10, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Department of Social Dept of SHS Div of Instns

  dba Eastern State Hospital

  • Psychiatric Hospital
  • Medical Lake, WA
  • NPI 1467440602
  NPD (past)

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1922918192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 BOYER AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622010",
            "telephone_number": "410-370-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W MAPLE ST",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990225139",
            "telephone_number": "509-565-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKER",
        "first_name": "STANLEY",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1101X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Gerontological",
            "state": "WA",
            "license": "DIET.DI.70161150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Cole, PSY. D.
• Compassion First Psychiatry PLLC
• Alton J Couturier, PHD
• Laura Cox, AGNP
• Thomas A. Crisp Jr., D.O.
• Erica Dawn Curless, LMT
• Evangeline V Dacanay, MD
• Jamie Lynn Damon, LMT
• Eric D. Dant, M.D.
• Mark P. Dartley, PA-C

• Registered Dietitian in Medical Lake, WA
• Providers in Medical Lake, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.