Active NPI
Erin Elizabeth Mahoney, RD
- Registered Dietitian
- Edina, MN
National Provider Identifier
1215762646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 5201 Eden Ave
Edina, MN 55436-2316 - Phone
- (781) 789-1125
- NPI assigned
- Sep 5, 2024
- Last updated
- Sep 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
5201 Eden Ave
Edina, MN 55436-2316
Mailing address
815 9TH Ave SE Unit 305
Minneapolis, MN 55414-4045
Phone (781) 789-1125
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5417 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emily Program PC | Past | Accepting new patients | |
| Karuna Nutrition & Movement LLC | Dietitian, Registered | Past | Accepting new patients |
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 The Emily Program
- Community/Behavioral Health Agency
- Seattle, WA
- NPI 1154696698
-
- Registered Dietitian
- Norwood, MA
- NPI 1255846283
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1215762646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 9TH AVE SE UNIT 305",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554144045",
"telephone_number": "781-789-1125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 EDEN AVE",
"city": "EDINA",
"state": "MN",
"postal_code": "554362316",
"telephone_number": "781-789-1125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHONEY",
"first_name": "ERIN",
"middle_name": "ELIZABETH",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-05",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.