Active NPI
Dianne M Crowley, RD
- Registered Dietitian
- Rio Rancho, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD-0923
- Practice address
- 1721 Rio Rancho Blvd SE
Rio Rancho, NM 87124-1570 - Phone
- (505) 342-8408
- NPI assigned
- Sep 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD-0923 | NM | Primary |
Addresses
Primary practice location
1721 Rio Rancho Blvd SE
Rio Rancho, NM 87124-1570
Mailing address
PO Box 26028
Albuquerque, NM 87125-6028
Phone (505) 262-7000
Other practice location 1
2929 Coors Blvd NW
Albuquerque, NM 87120-1173
Phone (505) 839-2300
Other practice location 2
5150 Journal Center Blvd NE
Albuquerque, NM 87109-5900
Phone (505) 232-1500
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
| License | State | Type | Specialty |
|---|---|---|---|
| LD-0923 | NM | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optumcare New Mexico LLC | Current | Accepting new patients | |
| Optumcare Endoscopy Center New Mexico, LLC | Past | Accepting new patients |
Locations
5150 Journal Center Blvd NE
Albuquerque, NM 87109
Phone (505) 262-3212
5150 Journal Center Blvd NE
Fl 3
Albuquerque, NM 87109
Phone (505) 262-3212
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
2929 Coors Blvd NW
Albuquerque, NM 87120
Phone (505) 788-6770
1721 Rio Rancho Blvd SE
Rio Rancho, NM 87124
Phone (505) 208-4413
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Albuquerque, NM
- NPI 1124053210
-
- Ambulatory Surgical Clinic/Center
- Albuquerque, NM
- NPI 1962685834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1962871582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26028",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871256028",
"telephone_number": "505-262-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 RIO RANCHO BLVD SE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871241570",
"telephone_number": "505-342-8408"
}
],
"practiceLocations": [
{
"address_1": "2929 Coors Blvd NW",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871201173",
"country_code": "US",
"telephone_number": "505-839-2300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5150 Journal Center Blvd NE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871095900",
"country_code": "US",
"telephone_number": "505-232-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROWLEY",
"first_name": "DIANNE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-24",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NM",
"license": "LD-0923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.