Individual provider Active NPI

Karen Ann Reynolds, RDN/LD

  • Registered Dietitian
  • Venice, FL
National Provider Identifier
1790215937
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND7941 Issued in FL
Practice address
477 Arborview LN
Venice, FL 34292-5312
Phone
(917) 817-8163
NPI assigned
Jun 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 ND7941 FL Primary

Addresses

Primary practice location

477 Arborview LN
Venice, FL 34292-5312

Mailing address

477 Arborview LN
Venice, FL 34292-5312
Phone (917) 817-8163

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250723004182 FL Practitioner - Registered Dietitian Or Nutrition Professional 2860908977 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ND7941FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Reynolds RDN LD LLC Dietitian, Registered CurrentSince May 15, 2025 Accepting new patients

Locations

2886 Ringling Blvd
#D
Sarasota, FL 34237
Phone (917) 817-8163

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": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790215937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 ARBORVIEW LN",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342925312",
            "telephone_number": "917-817-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 ARBORVIEW LN",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342925312",
            "telephone_number": "917-817-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "credential": "RDN/LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND7941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.