Individual provider Active NPI

Erica Lynn Bentley, RDN, CDN

  • Registered Dietitian
  • Williamsville, NY
National Provider Identifier
1063306355
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
954223 Issued in NY
Practice address
5872 Main St
Williamsville, NY 14221-5710
Phone
(716) 906-3770
Fax
(716) 906-3796
NPI assigned
Jun 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 954223 NY Primary

Addresses

Primary practice location

5872 Main St
Williamsville, NY 14221-5710

Mailing address

66 Northwood Dr
Depew, NY 14043-4552
Phone (716) 903-6257

Other practice location 1

66 Northwood Dr
Depew, NY 14043-4552
Phone (716) 903-6257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 18, 2025 through Aug 18, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
954223NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Bridget M Rippe, PSYD, PLLC CurrentSince Jun 8, 2025 Accepting new patients

Locations

5872 Main St
Williamsville, NY 14221
Phone (716) 906-3770

Organizations & group practices 1

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": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1063306355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 NORTHWOOD DR",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434552",
            "telephone_number": "716-903-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5872 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215710",
            "telephone_number": "716-906-3770",
            "fax_number": "716-906-3796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 Northwood Dr",
            "address_purpose": "LOCATION",
            "city": "Depew",
            "state": "NY",
            "postal_code": "140434552",
            "country_code": "US",
            "telephone_number": "716-903-6257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "ERICA",
        "middle_name": "LYNN",
        "credential": "RDN, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "954223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.