Active NPI
Karen Lynn Horan, RD, CDE
- Registered Dietitian
- Ridgewood, NJ
National Provider Identifier
1780952705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 838532
- Practice address
- 61 North Maple Avenue
Suite 202
Ridgewood, NJ 07450 - Phone
- (201) 444-8110
- Fax
- (201) 444-8177
- NPI assigned
- Dec 5, 2011
- 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 | 838532 | NJ | Primary |
Addresses
Primary practice location
61 North Maple Avenue
Suite 202
Ridgewood, NJ 07450
Mailing address
1147 Edgewood Lane
Fort Lee, NJ 07024
Phone (201) 736-4717
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 |
|---|---|---|---|
| 838532 | NJ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balance and Thrive, LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1780952705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1147 EDGEWOOD LANE",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "07024",
"telephone_number": "201-736-4717",
"fax_number": "201-444-8177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 NORTH MAPLE AVENUE",
"address_2": "SUITE 202",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "07450",
"telephone_number": "201-444-8110",
"fax_number": "201-444-8177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORAN",
"first_name": "KAREN",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "RD, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-05",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "838532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.