Active NPI
Nicole Carl, MSCN, RDN, LDN
- Registered Dietitian
- Abington, PA
National Provider Identifier
1326750522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN007637
- Practice address
- 1523 Edge Hill Rd
Abington, PA 19001-2609 - Phone
- (215) 961-7045
- NPI assigned
- Dec 19, 2022
- Sex
- Female
- Sole proprietor
- No
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 | DN007637 | PA | Primary |
Addresses
Primary practice location
1523 Edge Hill Rd
Abington, PA 19001-2609
Mailing address
48 Gallant Fox Dr
Media, PA 19063-5253
Phone (484) 354-9377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578229589 | Other | PA | KLASIK FIT NUTRITION |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 1578229589 | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN007637 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Klasik Nutrition | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1326750522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 GALLANT FOX DR",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635253",
"telephone_number": "484-354-9377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1523 EDGE HILL RD",
"city": "ABINGTON",
"state": "PA",
"postal_code": "190012609",
"telephone_number": "215-961-7045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARL",
"first_name": "NICOLE",
"credential": "MSCN, RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-19",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN007637",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KLASIK FIT NUTRITION",
"identifier": "1578229589",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "1578229589",
"affiliation": "N",
"endpointDescription": "Klasik Nutrition group",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1523 Edge Hill Rd",
"city": "Abington",
"state": "PA",
"country_code": "US",
"postal_code": "190012609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Abington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.