Active NPI
Karen Chaska, MS, RD, LD/N, LRD
- Registered Dietitian
- Fort Lauderdale, FL
National Provider Identifier
1790311405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86054081
- Practice address
- 3333 Port Royale Dr S Apt 103
Fort Lauderdale, FL 33308-7916 - Phone
- (952) 486-2728
- NPI assigned
- Mar 14, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND8111 | FL | |
| Registered Dietitian | 133V00000X | 2035 | SC | |
| Registered Dietitian | 133V00000X | 86054081 | Primary |
Addresses
Primary practice location
3333 Port Royale Dr S Apt 103
Fort Lauderdale, FL 33308-7916
Mailing address
3333 Port Royale Dr S Apt 103
Fort Lauderdale, FL 33308-7916
Phone (952) 486-2728
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND8111 | FL | MD | Registered Dietitian |
| 2035 | SC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dietitian Karen LLC | Dietitian, Registered | Current | 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": "1584144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584144000000",
"number": "1790311405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 PORT ROYALE DR S APT 103",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333087916",
"telephone_number": "952-486-2728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 PORT ROYALE DR S APT 103",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333087916",
"telephone_number": "952-486-2728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASKA",
"first_name": "KAREN",
"credential": "MS, RD, LD/N, LRD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-14",
"last_updated": "2020-03-14",
"certification_date": "2020-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND8111",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "2035",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86054081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.