Individual provider · Type 1 NPI

Stanley Todd Crocker, RD

Gerontological Nutrition Registered Dietitian · Medical Lake, WA

NPI number 1922918192 Active

Practice location

850 W Maple St
Medical Lake, WA 99022-5139

Mailing address

537 Boyer Ave
Walla Walla, WA 99362-2010

Specialties and licenses

TaxonomyCodeLicense
Gerontological Nutrition Registered Dietitian Primary 133VN1101XDIET.DI.70161150 (WA)

Gerontological Nutrition Registered Dietitian: An individual who is a Specialist in Gerontological Nutrition and provides nutrition care to promote quality of life and optimal health for older adults across the continuum of care, including: acute care, post-acute care, primary care, long-term care, assisted living, home care, palliative care, community-based nutrition, food service, correctional facilities, and government programs. RDN who works indirectly with …

10 other providers at this address

About NPI 1922918192

Stanley Todd Crocker, RD's National Provider Identifier is 1922918192, issued on Sep 10, 2026. The primary taxonomy on file is Gerontological Nutrition Registered Dietitian (133VN1101X), and the practice location is in Medical Lake, WA. The record was last updated on Sep 10, 2026.