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
- Last updated
- 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 |
|---|---|---|---|
| Hygeia Wellness, LLC | Dietitian, Registered | Current | Accepting new patients |
| Everlong Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Everlong Nutrition, LLC
- Registered Dietitian
- Worcester, MA
- NPI 1982209680
Dietitian, Registered
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.