Active NPI
Erica Bitencourt Rubino, RD
- Registered Dietitian
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- MED-NUTR-LIC-88693
- Practice address
- 900 N Orange St Ste 304
Missoula, MT 59802-2951 - Phone
- (406) 329-5781
- Fax
- (406) 327-3331
- NPI assigned
- Jul 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 86044523 | ||
| Registered Dietitian | 133V00000X | MED-NUTR-LIC-88693 | MT | Primary |
Addresses
Primary practice location
900 N Orange St Ste 304
Missoula, MT 59802-2951
Mailing address
PO Box 12
Liberty Lake, WA 99019-0012
Phone (866) 747-2455
Other practice location 1
4122 Killarney Way
Missoula, MT 59808-5831
Phone (763) 234-9478
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Missoula, MT 59808
Phone (406) 510-8700
3031 S Russell St
Missoula, MT 59801-8523
Phone (406) 510-8700
900 N Orange St
Missoula, MT 59802-2951
Phone (406) 329-5781
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-NUTR-LIC-88693 | MT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Mt | Current | Accepting new patients | |
| Providence Health & Services Mt | Current | Accepting new patients | |
| Providence Health & Services Mt | Current | Accepting new patients | |
| Nutrition-Focused Health, PLLC | Dietitian, Registered | Current | Accepting new patients |
Locations
900 N Orange St
Ste 304
Missoula, MT 59802
Phone (406) 329-5781
500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945
Interoperability endpoints
- erica.rubino@allnations.directbygreenway.com
Organizations & group practices 4
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.
-
- Rehabilitation Hospital Unit
- Missoula, MT
- NPI 1144319138
-
- Registered Dietitian
- Missoula, MT
- NPI 1821777343
Dietitian, Registered
-
- Family Medicine Physician
- Missoula, MT
- NPI 1215222617
-
- Anatomic Pathology & Clinical Pathology Physician
- Missoula, MT
- NPI 1366185928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1043863319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190012",
"telephone_number": "866-747-2455",
"fax_number": "406-329-2659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N ORANGE ST STE 304",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598022951",
"telephone_number": "406-329-5781",
"fax_number": "406-327-3331"
}
],
"practiceLocations": [
{
"address_1": "4122 Killarney Way",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598085831",
"country_code": "US",
"telephone_number": "763-234-9478",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUBINO",
"first_name": "ERICA",
"middle_name": "BITENCOURT",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-16",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86044523",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MT",
"license": "MED-NUTR-LIC-88693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.