MINDY CROCKETT (NPI# 1225297419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225297419 |
| Entity Type | Individual |
| Full Name | MINDY CROCKETT |
| Credential | RDN, CD |
| Practice Address |
395 W Bulldog Blvd Provo UT 84604-3311 |
| Mailing Address |
395 W Bulldog Blvd Fl 4 Provo UT 84604-3311 |
| Practice Telephone | 8013578143 |
| Practice Fax Number | 8013578329 |
| Mailing Telephone | 8013578143 |
| Mailing Fax Number | 8013578329 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2019-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 6434151-4901 | UT | Dietary & Nutritional Service Providers |
| Street Address |
395 W BULLDOG BLVD |
| City | PROVO |
| State | UT |
| Zip Code | 84604-3311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099735 | Ihc Health Services Inc | Internal Medicine | 395 W Bulldog Blvd, Provo, UT 84604-3311 | 2020-07-06 |
| 1821610593 | Harmony A Hatch | Registered Nurse | 395 W Bulldog Blvd, Provo, UT 84604-3311 | 2020-05-15 |
| 1427515170 | Ihc Health Services Inc | Preventive Medicine | 395 W Bulldog Blvd, Provo, UT 84604-3311 | 2019-02-28 |
| 1588150304 | Christopher Bickmore Parson | Nurse Practitioner | 395 W Bulldog Blvd, Provo, UT 84604-3311 | 2018-07-04 |
| 1669859054 | Kenneth Scott Griffin | Psychiatry & Neurology | 395 W Bulldog Blvd, Provo, UT 84604-3311 | 2015-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114554060 | Kristen Johnson | Dietitian, Registered | 395 W Cougar Blvd Ste 203, Provo, UT 84604-3328 | 2020-03-23 |
| 1609067347 | Anna B Snyder | Dietitian, Registered | 1675 North Freedom Blvd Suite 15, Provo, UT 84604 | 2007-08-07 |
| 1477188811 | Jodi Benson | Dietitian, Registered | 1034 N 500 W, Provo, UT 84604-3380 | 2020-03-05 |
| 1588217038 | Anna-marie Ayotte | Dietitian, Registered | 1034 N 500 W, Provo, UT 84604-3380 | 2019-07-23 |
| 1770040263 | Jill Austad | Dietitian, Registered | 1034 N 500 W, Provo, UT 84604-3380 | 2019-02-21 |
| 1255805123 | Jillian Elaine Taylor Porto | Dietitian, Registered | 1034 N 500 W, Provo, UT 84604-3337 | 2019-01-14 |
| 1497249122 | Linda Griffiths Saxton | Dietitian, Registered | 306 River Bend Ln, Provo, UT 84604-5625 | 2018-06-16 |
| 1851802490 | Megan M. Kennedy | Dietitian, Registered | 1055 N 500 W Bldg A, Provo, UT 84604-3305 | 2017-10-23 |
| 1134647977 | Daniel Burgess | Dietitian, Registered | 1034 N 500 W, Provo, UT 84604-3380 | 2017-08-31 |
| 1942664867 | Holly Ann Bishop Michaels | Dietitian, Registered | 1055 N 500 W, Attn. Credentialing, Provo, UT 84604-3305 | 2016-04-06 |
| Find all providers in PROVO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.