Stephanie Ann Crabtree, MS, RD
Dietitian, Registered in Santa Clara, CA. Individual provider (NPI-1).
NPI number1508169293
StatusActive
Last updated in NPPESJul 25, 2012
Details
- NPI
- 1508169293
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Ann Crabtree
- Credential
- MS, RD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 17, 2010
- Last updated
- Jul 25, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
710 Lawrence ExpySanta Clara, CA 95051-5173
Phone 408-236-6400
Mailing address
2118 Canoas Garden Ave Apt 256San Jose, CA 95125-2139
Phone 425-444-4297
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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