Individual provider Active NPI

Dianne M Crowley, RD

  • Registered Dietitian
  • Rio Rancho, NM
National Provider Identifier
1962871582
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD-0923 Issued in NM
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

Updated by the provider on Aug 22, 2024

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 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

LicenseStateTypeSpecialty
LD-0923NMMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare New Mexico LLC CurrentSince Dec 12, 2016 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.

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.

Verify at the official NPI Registry.