Individual provider Active NPI

Karen A Polensky, MS, RD/LDN, CDE

  • Registered Dietitian
  • Chambersburg, PA
National Provider Identifier
1386744753
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN003369 Issued in PA
Practice address
757 Norland Ave Ste 204
Chambersburg, PA 17201-4231
Phone
(717) 217-6820
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN003369 PA Primary

Addresses

Primary practice location

757 Norland Ave Ste 204
Chambersburg, PA 17201-4231

Mailing address

52 Pine Creek Dr
Carlisle, PA 17013-9668
Phone (717) 609-3537

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN003369PAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1386744753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 PINE CREEK DR",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170139668",
            "telephone_number": "717-609-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 NORLAND AVE STE 204",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014231",
            "telephone_number": "717-217-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLENSKY",
        "first_name": "KAREN",
        "middle_name": "A",
        "credential": "MS, RD/LDN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN003369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.