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MRS. KRYSTEN NYKOLE CRADDOCK RDN
NPI 1659849602
Dietitian, Registered in Colville, WA

Active since November 07, 2018
982 E COLUMBIA AVE, COLVILLE, WA 99114(509) 685-5100 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 20, 2026, Nov 7, 2018 (2 updates tracked since 2018).

About Mrs. Krysten Nykole Craddock Rdn NPPES

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

MRS. KRYSTEN NYKOLE CRADDOCK RDN (NPI 1659849602) is an individual dietitian, registered in Colville, Washington, licensed in Washington (DI60246459) and active in the NPI registry since November 2018. She maintains 2 additional practice locations and is a graduate of Other (2010).

NPPES Registry Identity

NPI1659849602
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. KRYSTEN NYKOLE CRADDOCKCredential: RDN
Location Address982 E COLUMBIA AVEColville, WA 99114-3316
Mailing AddressPo Box 31001-4114Pasadena, CA 91110-0001 · (866) 747-2455
Phone(509) 685-5100
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 7, 2018
Last NPPES UpdateMay 20, 20262 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1659849602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses✔ Licensed in WA · DI60246459✔ Licensed in WA · 1018437
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.
982 E COLUMBIA AVE, Colville, WA 99114
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Secondary Practice Locations 2

Location 136 Klondike RdRepublic, WA 99166-9701 · Phone (509) 775-3333
Location 21200 E Columbia AveColville, WA 99114-3354 · Phone (509) 684-3701

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Krysten Nykole Craddock Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981175700
PECOS Enrollment IDI20260602004453

Medicare Billing Reassignment

Medicare enrollment records show Krysten Craddock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Health & Services Washington
0.1 mi
Family Medicine
1200 E COLUMBIA AVE
Colville, WA 99114
  • Reassigned Medicare billing, Washington enrollment
  • 862 clinicians in this Medicare group
NPI 1083968879 (509) 474-2072

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 18

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON
General Acute Care Hospital (Critical Access)
982 E COLUMBIA AVE
COLVILLE, WA 99114
Stevens County (509) 684-2561
BARBARA J GROFFMAN RPH
Pharmacist
982 E COLUMBIA AVE
COLVILLE, WA 99114
Stevens County (509) 685-5274
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Medicare Defined Swing Bed Unit
982 E COLUMBIA AVE
COLVILLE, WA 99114
Stevens County (509) 684-2561
DR. GARY BALDWIN M.D.
Obstetrics & Gynecology
982 E COLUMBIA AVE
COLVILLE, WA 99114
Stevens County (509) 935-0824
DR. PATRICK S MARKEL MD
Emergency Medicine
982 E COLUMBIA AVE
COLVILLE, WA 99114
Stevens County (509) 684-2561
MARCUS C GROFFMAN CRNA
Nurse Anesthetist, Certified Registered
982 E COLUMBIA AVE
COLVILLE, WA 99114
Stevens County (509) 685-2461
JAIME M KELLOGG
Student in an Organized Health Care Education/Training Program
982 E COLUMBIA AVE
COLVILLE, WA 99114
Stevens County (509) 685-5000
PRESTON R KREIS
Student in an Organized Health Care Education/Training Program
982 E COLUMBIA AVE
COLVILLE, WA 99114
Stevens County (509) 685-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krysten Craddock's NPI number?

The NPI number for Krysten Craddock is 1659849602. It was assigned to this individual provider in the NPPES registry on November 7, 2018.

Where is Krysten Craddock located?

Krysten Craddock practices at 982 E Columbia Ave, Colville, WA 99114. The listed phone number is (509) 685-5100.

What is Krysten Craddock's specialty?

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

Is Krysten Craddock enrolled in Medicare?

Yes. Krysten Craddock is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Krysten Craddock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krysten Craddock reassigns Medicare benefits to Providence Health & Services Washington (Colville, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Krysten Craddock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krysten Craddock accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Krysten Craddock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Krysten Craddock was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.