Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mr. Stanley Todd Crocker, RD

Individual provider Gerontological Nutrition Registered Dietitian · NPI 1922918192

Mr. Stanley Todd Crocker, RD is a Gerontological Nutrition Registered Dietitian in Medical Lake, Washington. Licensed in Washington. Registered with an NPI since 2026.

Licensed in
WA
In the registry since
2026
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

850 W Maple St
Medical Lake, WA 99022-5139
Phone: (509) 565-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontological Nutrition Registered Dietitian (primary) Taxonomy 133VN1101X · Licence DIET.DI.70161150 (WA)

Record details

NPI number1922918192
Entity typeIndividual (Type 1)
GenderMale
Credentials RD
Sole proprietorNo
NPI enumeratedSeptember 10, 2026
Last updated in NPPESSeptember 10, 2026
Certification dateSeptember 10, 2026