Individual provider Active NPI

Crystal Claytonia Karges, MS, RDN, IBCLC

  • Registered Dietitian
  • Escondido, CA
National Provider Identifier
1396289112
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1057601 Issued in CA
Practice address
150 E 9TH Ave
Escondido, CA 92025-5153
Phone
(760) 580-9815
NPI assigned
Dec 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1057601 CA Primary
Lactation Consultant (Non-RN) 174N00000X L-48564 CA

Addresses

Primary practice location

150 E 9TH Ave
Escondido, CA 92025-5153

Mailing address

260 W Crest St
Suite B
Escondido, CA 92025-1716
Phone (760) 580-9815

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

LicenseStateTypeSpecialty
1057601CAMDRegistered Dietitian
L-48564CAMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1396289112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 W CREST ST",
            "address_2": "SUITE B",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251716",
            "telephone_number": "760-580-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E 9TH AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920255153",
            "telephone_number": "760-580-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARGES",
        "first_name": "CRYSTAL",
        "middle_name": "CLAYTONIA",
        "name_prefix": "Mrs.",
        "credential": "MS, RDN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1057601",
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "L-48564",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.