Individual provider Active NPI

Elise Karnegis, RD, LDN

  • Registered Dietitian
  • Miami Gardens, FL
National Provider Identifier
1740718972
Registry record updated Jun 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1073 Issued in FL
Practice address
1825 NW 167TH St Ste 109
Miami Gardens, FL 33056-4838
Phone
(305) 474-1800
NPI assigned
Jun 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2017

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 1073 FL Primary

Addresses

Primary practice location

1825 NW 167TH St Ste 109
Miami Gardens, FL 33056-4838

Mailing address

1825 NW 167TH St Ste 109
Miami Gardens, FL 33056-4838
Phone (305) 474-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250624002700 FL Practitioner - Registered Dietitian Or Nutrition Professional 8123530268 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1073FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family and Child Enrichment, Inc CurrentSince Jun 14, 2025 Accepting new patients
Center for Family and Child Enrichment, Inc PastSince Jul 25, 2021 Accepting new patients

Locations

1825 NW 167th St
#108109
Miami Gardens, FL 33056
Phone 30562474501842

1825 NW 167th St
#108
Miami Gardens, FL 33056
Phone 30562474501794

1825 NW 167th St
Ste 109
Miami Gardens, FL 33056
Phone (305) 474-1800

1825 NW 167th St
Miami Gardens, FL 33056
Phone (305) 474-1730

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496275200000",
    "number": "1740718972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 NW 167TH ST STE 109",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330564838",
            "telephone_number": "305-474-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 NW 167TH ST STE 109",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330564838",
            "telephone_number": "305-474-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARNEGIS",
        "first_name": "ELISE",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2017-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "1073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.