Individual provider Active NPI

Crystal Reil, R.D.,C.D-N

  • Registered Dietitian
  • New Haven, CT
National Provider Identifier
1942533880
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
000409 Issued in CT
Practice address
20 York St
Yale New Haven Hospital Nutrition Clinic CBB 52
New Haven, CT 06510-3220
Phone
(203) 688-2422
Fax
(203) 688-2422
NPI assigned
Sep 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 000409 CT Primary

Addresses

Primary practice location

20 York St
Yale New Haven Hospital Nutrition Clinic CBB 52
New Haven, CT 06510-3220

Mailing address

20 York St
Yale New Haven Hospital Nutrition Clinic CBB 52
New Haven, CT 06510-3220
Phone (203) 688-2422

Other identifiers 1

IdentifierTypeStateIssuer
C02658OtherCTYALE NEW HAVEN HOSPITAL MEDICARE NUMBER

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

State licenses

LicenseStateTypeSpecialty
000409CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Yale New Haven Hospital Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1942533880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "address_2": "YALE NEW HAVEN HOSPITAL NUTRITION CLINIC CBB 52",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-2422",
            "fax_number": "203-688-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "address_2": "YALE NEW HAVEN HOSPITAL NUTRITION CLINIC CBB 52",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-2422",
            "fax_number": "203-688-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIL",
        "first_name": "CRYSTAL",
        "name_prefix": "Ms.",
        "credential": "R.D.,C.D-N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "000409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "YALE NEW HAVEN HOSPITAL MEDICARE NUMBER",
            "identifier": "C02658",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.