KELLY JEAN CRUSENBERRY
NPI 1275023301
Dietitian, Registered in Sevierville, TN

Q: What is Kelly Crusenberry's NPI number?

The NPI number for Kelly Crusenberry is 1275023301. It was assigned to this individual provider in the NPPES registry on May 15, 2018.

Q: What is Kelly Crusenberry's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Crusenberry was last updated on May 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 15, 2018

719 MIDDLE CREEK RD, SEVIERVILLE, TN 37862(865) 453-1032 Get Directions Write a Review

NPPES record last updated: May 15, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kelly Jean Crusenberry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY JEAN CRUSENBERRY (NPI 1275023301) is an individual dietitian, registered in Sevierville, Tennessee and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1275023301

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameKELLY JEAN CRUSENBERRY

Location Address719 MIDDLE CREEK RDSevierville, TN 37862-5016

Mailing Address719 Middle Creek RdSevierville, TN 37862-5016 · (865) 453-1032

Phone(865) 453-1032

Sole ProprietorYes

Enumeration DateMay 15, 2018

✔ NPI 1275023301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

719 MIDDLE CREEK RD, Sevierville, TN 37862

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STATE OF TENNESSEE

Clinic/Center (Public Health, State or Local)