Crystal Duque, RDN
Crystal Duque, RDN is an Obesity and Weight Management Nutrition Registered Dietitian in Atlanta, GA, registered under NPI 1912686437. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 12236 MADISON DR, Atlanta, GA 30346. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| LD009627 | GA | Obesity and Weight Management Nutrition… primary |
| DT88281 | TX | Registered Dietitian |
Licences are recorded in 2 states: GA, TX. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Registered Dietitian Or Nutrition Professional
- PAC ID
- 5193173730
- Enrollment ID
- I20231121001138
Medicare enrolment is recorded as approved under the provider type Practitioner - Registered Dietitian Or Nutrition Professional. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Georgia and Texas. The practice address on file is in Atlanta, GA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- LD009627
- Specialty
- Obesity and Weight Management Nutrition…
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Nutrition, Obesity and Weight Management covers
An individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of nutritional, behavioral health, medical, surgical, pharmacotherapeutic, and exercise and physical activity interventions. NUCC Health Care Provider Taxonomy, code 133VN1201X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian Nutrition, Obesity and Weight Management | LD009627 | GA | primary |
| 133V00000X | Registered Dietitian | DT88281 | TX |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1912686437 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 12, 2023 |
| Last updated | Jul 29, 2026 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Female |
| Credential | RDN |
| Practice address |
12236 MADISON DR Atlanta, GA 30346 (423) 737-8015 |
| Mailing address |
260 PEACHTREE ST NW Atlanta, GA 30303 |
| Other names |
Crystal Duque Doing Business As |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 1 | 2 | 6 | 8 | 6 | 4 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 2 | 2 | 3 | 8 | 3 | 4 | 6 |
Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.