Active NPI
Karen Joyce Shupack, RDN
- Nutritionist
- Media, PA
National Provider Identifier
1609754399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- DN000060
- Practice address
- 1068 W Baltimore Pike
Media, PA 19063-5104 - Phone
- (610) 585-0663
- NPI assigned
- Aug 22, 2025
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | DN000060 | PA | Primary |
Addresses
Primary practice location
1068 W Baltimore Pike
Media, PA 19063-5104
Mailing address
40 Scarlet Ave
Aston, PA 19014-2122
Phone (610) 585-0663
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 |
|---|---|---|---|
| DN000060 | PA | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1609754399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 SCARLET AVE",
"city": "ASTON",
"state": "PA",
"postal_code": "190142122",
"telephone_number": "610-585-0663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1068 W BALTIMORE PIKE",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635104",
"telephone_number": "610-585-0663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUPACK",
"first_name": "KAREN",
"middle_name": "JOYCE",
"name_prefix": "Ms.",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-22",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PA",
"license": "DN000060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.