MISS CRYSTAL BOUCHARD RD
NPI 1366792111
Dietitian, Registered in Magnolia, DE

Active since September 19, 2012
142 TRILLIUM DR, MAGNOLIA, DE 19962(302) 359-6106 Get Directions Write a Review

NPPES record last updated: September 19, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Dietitian, Registered

About CRYSTAL BOUCHARD

This page provides the complete NPI Profile along with additional information for Crystal Bouchard, a provider established in Magnolia, Delaware with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1366792111 assigned on September 2012. The practitioner's primary taxonomy code is 133V00000X. The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1366792111 Verify this NPI
Provider Name
MISS CRYSTAL BOUCHARD RD
Gender
Female
Entity Type
Individual
Location Address
142 TRILLIUM DR MAGNOLIA, DE 19962
Location Phone
(302) 359-6106
Mailing Address
142 TRILLIUM DR MAGNOLIA, DE 19962
Is Sole Proprietor?
No
Enumeration Date
09-19-2012
Last Update Date
09-19-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License State
DE
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366792111, enumerated as an "individual" on September 19, 2012.

The provider is located at 142 TRILLIUM DR MAGNOLIA, DE 19962 and the phone number is (302) 359-6106.

Dietitian, Registered with taxonomy code 133V00000X.