Individual provider Active NPI

Karen Hoiwan Wong-Li, RD, LD

  • Registered Dietitian
  • Fort Defiance, AZ
National Provider Identifier
1255673497
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT07208 Issued in TX
Practice address
Corner of Route N12 & N7
Fort Defiance, AZ 86504-0649
Phone
(928) 729-8000
NPI assigned
Mar 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X TPND1336 FL
Registered Dietitian 133V00000X DT07208 TX Primary
Registered Dietitian 133V00000X 5466 TN

Addresses

Primary practice location

Corner of Route N12 & N7
Fort Defiance, AZ 86504-0649

Mailing address

PO Box 649
Fort Defiance, AZ 86504-0649

Other practice location 1

2400 Maitland Center Pkwy Ste 319
Maitland, FL 32751-4127
Phone (800) 973-1442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN, DC, AZ, FL5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20150313001234 TX Practitioner - Registered Dietitian Or Nutrition Professional 8123344983 Reassigns benefits to 3 organizations
I20251227000524 TN Practitioner - Registered Dietitian Or Nutrition Professional 8123344983 Reassigns benefits to 1 organization
I20260116002522 DC Practitioner - Registered Dietitian Or Nutrition Professional 8123344983 Reassigns benefits to 1 organization
I20260323001528 AZ Practitioner - Registered Dietitian Or Nutrition Professional 8123344983 Reassigns benefits to 1 organization
I20260408003287 FL Practitioner - Registered Dietitian Or Nutrition Professional 8123344983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3715 Northside Parkside
Building 100 Suite 550
Atlanta, GA 30327

950 N Glebe Rd
Arlington, VA 22203-4173

PO Box
Belfast, ME 04915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TPND1336FLMDRegistered Dietitian
5466TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group West Texas, PLLC CurrentSince Mar 1, 2026 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Dec 16, 2025 Accepting new patients
Privia Medical Group West Texas, PLLC CurrentSince Mar 1, 2026 Accepting new patients
Privia Medical Group Gulf Coast PLLC CurrentSince Dec 16, 2025 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Dec 15, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 19, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 19, 2025 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Oct 7, 2025 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Dec 15, 2025 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients
Marjorie Nolan Cohn LLC Dietitian, Registered Past Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

1 Vantage Way
Ste C240
Nashville, TN 37228
Phone (833) 973-3648

1665 Antilley Rd
Ste 200
Abilene, TX 79606
Phone (325) 793-5100

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: karen.wong-li.1@8042.direct.athenahealth.com
  • Direct secure messaging: karen.wong-li.1@33227.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1255673497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865040649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER OF ROUTE N12 & N7",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865040649",
            "telephone_number": "928-729-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Maitland Center Pkwy Ste 319",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327514127",
            "country_code": "US",
            "telephone_number": "800-973-1442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG-LI",
        "first_name": "KAREN",
        "middle_name": "HOIWAN",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "TPND1336",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT07208",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "5466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Defiance, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.