Active NPI
Ernest Eugene Erb Jr., REGISTERED DIETITIAN
- Nutrition Education Nutritionist
- Durham, NC
National Provider Identifier
1174756118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- LOOO237
- Practice address
- 3475 Erwin Road
Wallace Clinic Suite 204
Durham, NC 27705 - Phone
- (919) 660-6791
- Fax
- (919) 681-0804
- NPI assigned
- Aug 25, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | LOOO237 | NC | Primary |
Addresses
Primary practice location
3475 Erwin Road
Wallace Clinic Suite 204
Durham, NC 27705
Mailing address
3475 Erwin Road
Wallace Clinic Suite 204
Durham, NC 27705
Phone (919) 660-6791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LOOO237 | NC | MD | Nutrition Education Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251158400000",
"number": "1174756118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3475 ERWIN ROAD",
"address_2": "WALLACE CLINIC SUITE 204",
"city": "DURHAM",
"state": "NC",
"postal_code": "27705",
"telephone_number": "919-660-6791",
"fax_number": "919-681-0804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3475 ERWIN ROAD",
"address_2": "WALLACE CLINIC SUITE 204",
"city": "DURHAM",
"state": "NC",
"postal_code": "27705",
"telephone_number": "919-660-6791",
"fax_number": "919-681-0804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERB",
"first_name": "ERNEST",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "REGISTERED DIETITIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-25",
"last_updated": "2009-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NC",
"license": "LOOO237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.