NICOLE CROUCH (NPI# 1871839316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871839316 |
| Entity Type | Individual |
| Full Name | NICOLE CROUCH |
| Credential | R.D. |
| Practice Address |
35401 Mission Drive St. Ignatius MT 59865 |
| Mailing Address |
P.o. Box 880 St. Ignatius MT 59865 |
| Practice Telephone | 4067453525 |
| Practice Fax Number | 4067453529 |
| Mailing Telephone | 4067453525 |
| Mailing Fax Number | 4067453529 |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2013-01-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | MED-NUTR-LIC-417 | MT | Dietary & Nutritional Service Providers |
| Street Address |
35401 MISSION DRIVE |
| City | ST. IGNATIUS |
| State | MT |
| Zip Code | 59865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114486883 | Barbara Malia Kipp | Registered Nurse | 35401 Mission Drive, St. Ignatius, MT 59865 | 2019-03-13 |
| 1871005553 | Julie T.a. Smith | Radiologic Technologist | 35401 Mission Drive, St. Ignatius, MT 59865 | 2017-11-02 |
| 1487027413 | Timothy J. Gauthier | Registered Nurse | 35401 Mission Drive, St. Ignatius, MT 59865 | 2015-11-13 |
| 1700257474 | Sarin Mckenna | Dentist | 35401 Mission Drive, St. Ignatius, MT 59865 | 2015-10-07 |
| 1760850689 | Heather-mae P. Bucich | Registered Nurse | 35401 Mission Drive, St. Ignatius, MT 59865 | 2015-09-09 |
| 1932587888 | Leslie S. Wells | Radiologic Technologist | 35401 Mission Drive, St. Ignatius, MT 59865 | 2015-05-12 |
| 1306239611 | Jamie L. Lozeau | Registered Nurse | 35401 Mission Drive, St. Ignatius, MT 59865 | 2015-03-11 |
| 1265823389 | Theresa H. Hardy | Radiologic Technologist | 35401 Mission Drive, St. Ignatius, MT 59865 | 2015-02-11 |
| 1750669677 | Jason Krumbeck | Physical Therapist | 35401 Mission Drive, St. Ignatius, MT 59865 | 2011-07-26 |
| 1356647028 | Joseph Jeremy Trujillo | Dentist | 35401 Mission Drive, St. Ignatius, MT 59865 | 2011-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366007544 | Donald Paul Roberts | Counselor | 109 First Avenue, St. Ignatius, MT 59865 | 2019-05-03 |
| 1518521657 | Maria Grieco | Social Worker | 76 3rd Ave, St. Ignatius, MT 59865 | 2019-04-24 |
| 1801363239 | Julie A. Cross | Dental Hygienist | 1 Woodscocks Way, St. Ignatius, MT 59865 | 2018-10-24 |
| 1346727468 | Shawn Michael Griffith | Dentist | 1 Woodcocks Way, St. Ignatius, MT 59865 | 2018-07-21 |
| 1063868743 | Natasha R. Sinclair | Registered Nurse | 308 Mission Dr., St. Ignatius, MT 59865 | 2016-05-11 |
| 1487067880 | Brenda Ferril | Chiropractor | 200 Mountain View St, St Ignatius, MT 59865 | 2014-06-04 |
| 1114248648 | Suzanne T Cannady | Pharmacist | #5 4th Ave E, Polson, MT 59865 | 2010-06-18 |
| 1083947055 | Sunburst Community Service Foundation, Inc | Clinic/Center | 109 1st Avenue, St Ignatius, MT 59865 | 2009-09-09 |
| 1396974572 | Jennifer Van Wagoner | Dentist | 35401 Mission Dr, St. Ignatius, MT 59865 | 2009-07-08 |
| 1124211297 | Gordon F Duff Gerrish | Psychologist | 56850 Fish Hatchery Road, St Ignatius, MT 59865 | 2007-08-22 |
| Find all providers in zip 59865 | ||||
| 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 |
|---|---|---|---|---|
| 1568514438 | Cathrine Brenda Bodnar | Dietitian, Registered | 880 Mission Drive, St. Ignatius, MT 59865 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568077964 | Hannah Wilson | Dietitian, Registered | 224 Columbia Ave, Whitefish, MT 59937-2632 | 2020-09-11 |
| 1992319669 | Colleen Rose Mcmilin | Dietitian, Registered | 562 Enterprise Blvd Apt 49, Bozeman, MT 59718-5133 | 2020-09-01 |
| 1649893140 | Lorelei Nutrition | Dietitian, Registered | 213 N Broadway Ste 4, Billings, MT 59101-1972 | 2020-05-19 |
| 1366061913 | Amelia Tavares | Dietitian, Registered | 1 Valley View Dr Ste 104, Montana City, MT 59634-9203 | 2020-04-14 |
| 1093341133 | Chloe Lundquist | Dietitian, Registered | 626 1/2 W Galena St, Butte, MT 59701-1508 | 2020-03-20 |
| 1609401496 | Cailyn Schroeder | Dietitian, Registered | 117 Hideaway Trl, Livingston, MT 59047-8933 | 2020-03-11 |
| 1801431978 | Ashlee O'dell | Dietitian, Registered | 144 3rd St W Apt 3, Whitefish, MT 59937-3055 | 2019-11-13 |
| 1750933891 | Mercedes Seidel | Dietitian, Registered | 309 E Garfield St Apt F, Bozeman, MT 59715-5729 | 2019-07-09 |
| 1225696834 | Linda Kay Fredenberg | Dietitian, Registered | 1297 Burns Way Ste 3b, Kalispell, MT 59901-3162 | 2019-05-30 |
| 1659832939 | Rene Lindeen LLC | Dietitian, Registered | 1215 24th St W Ste 130, Billings, MT 59102-3895 | 2019-03-28 |
| Find all providers with the same taxonomy | ||||
| City | ST. IGNATIUS |
| Zip Code | 59865 |
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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.