Individual provider Active NPI

Krystal Marie Karalli, RD

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Carson, CA
National Provider Identifier
1982428751
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X
License
LDN7069 Issued in MA
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

Updated by the provider on Nov 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20260205000973 MA Practitioner - Registered Dietitian Or Nutrition Professional 6204315724 Reassigns benefits to 1 organization

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
Everlong IncGroup PAC ID 9335681311, 7 clinicians

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

LicenseStateTypeSpecialty
LDN7069MAMDObesity and Weight Management Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Everlong Inc. Dietitian, Registered CurrentSince Jan 1, 2026 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.

Verify at the official NPI Registry.