Individual provider Active NPI

Kathryn Eleni Karukas, MS, RD, LDN

  • Registered Dietitian
  • Columbia, MD
National Provider Identifier
1487225124
Registry record updated Jul 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX5058 Issued in MD
Practice address
9881 Broken Land Pkwy Ste 105
Columbia, MD 21046-3015
Phone
(301) 202-4532
NPI assigned
Jul 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2021

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 DX5058 MD Primary

Addresses

Primary practice location

9881 Broken Land Pkwy Ste 105
Columbia, MD 21046-3015

Mailing address

2237 Cherokee Dr
Westminster, MD 21157-7802
Phone (443) 244-7740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 26, 2026 through Feb 26, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DX5058MDMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1625356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625356800000",
    "number": "1487225124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 CHEROKEE DR",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577802",
            "telephone_number": "443-244-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9881 BROKEN LAND PKWY STE 105",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463015",
            "telephone_number": "301-202-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARUKAS",
        "first_name": "KATHRYN",
        "middle_name": "ELENI",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-04",
        "last_updated": "2021-07-04",
        "certification_date": "2021-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX5058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.