Active NPI
Karina McIntyre, R.D.
- Registered Dietitian
- San Diego, CA
National Provider Identifier
1679692420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 949107
- Practice address
- 3425 Stadium PL
San Diego, CA 92122-3308 - Phone
- (619) 917-4408
- NPI assigned
- Mar 29, 2007
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 949107 | CA | Primary |
Addresses
Primary practice location
3425 Stadium PL
San Diego, CA 92122-3308
Mailing address
3425 Stadium PL
San Diego, CA 92122-3308
Phone (619) 917-4408
Other practice location 1
111 Elm St
San Diego, CA 92101-2692
Phone (619) 677-3818
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 |
|---|---|---|---|
| 949107 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1679692420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 STADIUM PL",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921223308",
"telephone_number": "619-917-4408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 STADIUM PL",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921223308",
"telephone_number": "619-917-4408"
}
],
"practiceLocations": [
{
"address_1": "111 Elm St",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921012692",
"country_code": "US",
"telephone_number": "619-677-3818",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCINTYRE",
"first_name": "KARINA",
"name_prefix": "Ms.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "949107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.