| Crysta Pollitt, RDN | |
|
1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | |
| (973) 454-0651 | |
| (707) 559-7620 |
| Full Name | Crysta Pollitt |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1179 N Mcdowell Blvd, Petaluma, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962998823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1005354 (Massachusetts) | Primary |
| Provider Name | Petaluma Health Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588656268 PECOS PAC ID: 9133180375 Enrollment ID: O20050315000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Crysta Pollitt, RDN 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 Ph: (707) 559-7500 | Crysta Pollitt, RDN 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 Ph: (973) 454-0651 |
Ashley Shizu Nakagawa, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10 Canterbury Ct, Petaluma, CA 94954 Phone: 707-228-8698 | |
Stephanie Mendez, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 140 Vista View Pl, Petaluma, CA 94952 Phone: 562-964-2113 | |
Laura Ruth Disharoon, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 222 Weller St Ste 4, Petaluma, CA 94952 Phone: 415-370-1654 | |
Kristal Shelden, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 25 Del Sol Ct, Petaluma, CA 94954 Phone: 707-484-5131 | |
Jennifer Lane, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 207 S Mcdowell Blvd # 1063, Petaluma, CA 94954 Phone: 707-338-2474 Fax: 707-221-1688 | |
Brittany Roman-green Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 140 Vista View Pl, Petaluma, CA 94952 Phone: 845-416-5074 | |
Tiffany Torok, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1640 Northstar Dr, Petaluma, CA 94954 Phone: 415-845-8654 |