Active NPI
Krystal Marie Karalli, RD
- Obesity and Weight Management Nutrition Registered Dietitian
- Carson, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity and Weight Management Nutrition Registered Dietitian
- License
- LDN7069
- Practice address
- 20500 Belshaw Ave
Carson, CA 90746-3506 - Phone
- (855) 442-5885
- NPI assigned
- Nov 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LDN7069 | ||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | LDN7069 | MA | Primary |
Addresses
Primary practice location
20500 Belshaw Ave
Carson, CA 90746-3506
Mailing address
20500 Belshaw Ave
Carson, CA 90746-3506
Phone (855) 442-5885
Other practice location 1
39 Garden St Apt 2
Malden, MA 02148-3103
Phone (857) 241-7750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
44 Portland St
FL 4
Worcester, MA 01608-2023
Phone (617) 249-3253
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDN7069 | MA | MD | Obesity and Weight Management Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Everlong Inc. | Dietitian, Registered | Current | Accepting new patients |
| Hygeia Wellness, LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
66 Franklin St
Norwich, CT 06360
Phone (860) 501-9074
265 Chelmsford St
Ste 7
Chelmsford, MA 01824
Phone (603) 255-7076
44 Portland St
Fl 4
Worcester, MA 01608
Phone (617) 249-3253
112 Currituck Commerical Dr
Ste A
Moyock, NC 27958
Phone (252) 435-6131
8 Campus Dr
Ste 105
Parsippany, NJ 07054
Phone (844) 777-8498
519 W 22nd St
Ste 100
Sioux Falls, SD 57105
Phone (619) 549-9409
101 Creekstone Blvd
Ste 100
Franklin, TN 37064
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1982428751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20500 BELSHAW AVE",
"city": "CARSON",
"state": "CA",
"postal_code": "907463506",
"telephone_number": "855-442-5885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20500 BELSHAW AVE",
"city": "CARSON",
"state": "CA",
"postal_code": "907463506",
"telephone_number": "855-442-5885"
}
],
"practiceLocations": [
{
"address_1": "39 Garden St Apt 2",
"address_purpose": "LOCATION",
"city": "Malden",
"state": "MA",
"postal_code": "021483103",
"country_code": "US",
"telephone_number": "857-241-7750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KARALLI",
"first_name": "KRYSTAL",
"middle_name": "MARIE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-08",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "LDN7069",
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "MA",
"license": "LDN7069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.