Provider Demographics
NPI:1558242826
Name:NAVETTA, KAREN KIMIE (MS, RDN, LD)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:KIMIE
Last Name:NAVETTA
Suffix:
Gender:F
Credentials:MS, RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6620 MYRTLE BEACH DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-6302
Mailing Address - Country:US
Mailing Address - Phone:805-732-3943
Mailing Address - Fax:
Practice Address - Street 1:6620 MYRTLE BEACH DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-6302
Practice Address - Country:US
Practice Address - Phone:805-732-3943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT88016133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered