Active NPI
Guadalupe Karam, R.D.
- Renal Nutrition Registered Dietitian
- Tucson, AZ
National Provider Identifier
1508095126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- 85002250
- Practice address
- 4205 E la Cienega Dr
Tucson, AZ 85712-1425 - Phone
- (520) 241-6264
- NPI assigned
- Jul 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | 85002250 | AZ | Primary |
Addresses
Primary practice location
4205 E la Cienega Dr
Tucson, AZ 85712-1425
Mailing address
PO Box 31233
Tucson, AZ 85751-1233
Phone (520) 241-6264
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85002250 | Other | AZ | RD CERTIFICATE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85002250 | AZ | MD | Renal Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1508095126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31233",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857511233",
"telephone_number": "520-241-6264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4205 E LA CIENEGA DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857121425",
"telephone_number": "520-241-6264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARAM",
"first_name": "GUADALUPE",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-02",
"last_updated": "2020-11-16",
"certification_date": "2020-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "AZ",
"license": "85002250",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RD CERTIFICATE",
"identifier": "85002250",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.