Carla Marie Defuria, MBA, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND 7872 Issued in FL

Practice address

351 Town Plaza Ave Ste 105
Ponte Vedra, FL 32081-5179

Phone

(904) 819-3233

NPI assigned

Jul 5, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

81.78 of 100Reported as apm

Quality

77.66

Promoting interoperability

70.54

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shape Up Nutrition LLC

  • Registered Dietitian
  • Jacksonville Beach, FL
  • NPI 1821504093

  Dietitian, Registered

  NPD Authorized official
• Villages Regional Hospital Physician Services LLC

  • Surgery Physician
  • Leesburg, FL
  • NPI 1700669926
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1235581000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3266",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320853266",
            "telephone_number": "904-819-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 TOWN PLAZA AVE STE 105",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320815179",
            "telephone_number": "904-819-3233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Turin Terrace",
            "address_2": "Murabella Health Village",
            "address_purpose": "LOCATION",
            "city": "Saint Augustine",
            "state": "FL",
            "postal_code": "32092",
            "country_code": "US",
            "telephone_number": "904-819-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 S Beach Pkwy",
            "address_2": "Apt. 3208",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "322508173",
            "country_code": "US",
            "telephone_number": "908-285-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEFURIA",
        "first_name": "CARLA",
        "middle_name": "MARIE",
        "credential": "MBA, RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2024-04-30",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND 7872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William C Cullen, DMD
• Daniel M Calloway MD PA
• Jill A Darnell, RPH
• Jorge Enrique De la Rotta Soto, APRN
• Joshua Michael Dearth, PA-C
• Sherry Dianne Dekeyser, M.D.
• Deliver PT, LLC
• Charles Michael Dellinger, PHARM.D.
• Debra Depto, PT
• Michael Derry

• Registered Dietitian in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.