Mrs Krysten Nykole Craddock, RDN is a
Dietitian, Registered based in Republic, Washington. Mrs Krysten Nykole Craddock is licensed to practice in Washington (license number 1018437) and her current practice location is
36 Klondike Rd, Republic, Washington. She can be reached at her office (for appointments etc.) via phone at
(509) 775-3333.
NPI number for Mrs Krysten Nykole Craddock is 1659849602 and her current mailing address is 1049 Sunny Brook Way, Addy, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659849602.
Healthcare Provider's Profile
Full Name | Mrs Krysten Nykole Craddock |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 36 Klondike Rd, Republic, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659849602
- Provider Enumeration Date: 11/07/2018
- Last Update Date: 11/07/2018
Medical Identifiers
Medical identifiers for Mrs Krysten Nykole Craddock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659849602 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 1018437 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Krysten Nykole Craddock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Krysten Nykole Craddock, RDN 1049 Sunny Brook Way, Addy, WA 99101-6000 Ph: (509) 991-2324 | Mrs Krysten Nykole Craddock, RDN 36 Klondike Rd, Republic, WA 99166-9701 Ph: (509) 775-3333 |
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