Active NPI
Karen Freeman, MS, RD, CSSD
- Registered Dietitian
- San Diego, CA
National Provider Identifier
1184922197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 528450
- Practice address
- 12395 El Camino Real
Suite 115
San Diego, CA 92130 - Phone
- (858) 259-7777
- Fax
- (858) 259-7777
- NPI assigned
- Mar 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 528450 | NY | Primary |
Addresses
Primary practice location
12395 El Camino Real
Suite 115
San Diego, CA 92130
Mailing address
12395 El Camino Real
Suite 115
San Diego, NY 92130
Phone (858) 259-7777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528450 | Other | CA | AMERICAN DIETETIC ASSOCIATION REGISTRATION NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 528450 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298937600000",
"number": "1184922197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12395 EL CAMINO REAL",
"address_2": "SUITE 115",
"city": "SAN DIEGO",
"state": "NY",
"postal_code": "92130",
"telephone_number": "858-259-7777",
"fax_number": "858-259-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12395 EL CAMINO REAL",
"address_2": "SUITE 115",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92130",
"telephone_number": "858-259-7777",
"fax_number": "858-259-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "KAREN",
"credential": "MS, RD, CSSD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-01",
"last_updated": "2011-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "528450",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN DIETETIC ASSOCIATION REGISTRATION NUMBER",
"identifier": "528450",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.