Individual provider Active NPI

Renee Caryl, RD.LDN

  • Registered Dietitian
  • Hanford, CA
National Provider Identifier
1952607871
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN001483 Issued in PA
Practice address
515 W Grangeville Blvd
Hanford, CA 93230-2861
Phone
(844) 623-0999
Fax
(844) 306-5999
NPI assigned
Feb 10, 2011
Last updated
Dec 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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 DN001483 PA Primary

Addresses

Primary practice location

515 W Grangeville Blvd
Hanford, CA 93230-2861

Mailing address

515 W Grangeville Blvd
Hanford, CA 93230-2861
Phone (844) 623-0999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110706000219 PA Practitioner - Registered Dietitian Or Nutrition Professional 3274711783 Reassigns benefits to 1 organization
I20241223000405 CA Practitioner - Registered Dietitian Or Nutrition Professional 3274711783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
My Diabetes Tutor IncGroup PAC ID 1850712159, 20 clinicians

Practice addresses (Care Compare)

515 W Grangeville Blvd
Hanford, CA 93230-2861
Phone (844) 623-0999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN001483PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
My Diabetes Tutor Inc Dietitian, Registered CurrentSince Nov 1, 2024 Accepting new patients
Metabolic Disease Associates, Inc. CurrentSince Feb 26, 2014 Accepting new patients

Locations

515 W Grangeville Blvd
Hanford, CA 93230
Phone (559) 587-1100

240 W 11th St
Ste 2
Erie, PA 16501
Phone (814) 452-2218

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": "1297296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1952607871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W GRANGEVILLE BLVD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932302861",
            "telephone_number": "844-623-0999",
            "fax_number": "844-306-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W GRANGEVILLE BLVD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932302861",
            "telephone_number": "844-623-0999",
            "fax_number": "844-306-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARYL",
        "first_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "RD.LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-10",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN001483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.