Erin Hinderaker, RD, LD

Individual provider Active NPI Registered Dietitian · Story City, IA

NPI 1265838205 · NPPES record last updated Sep 21, 2023

Key facts

NPI
1265838205
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
001926 (IA)
Practice address
527 Broad St
Story City, IA 50248-1133
Phone
(515) 230-6644
Fax
(515) 335-2081
NPI assigned
Nov 18, 2014
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150909000390 IA Practitioner - Registered Dietitian Or Nutrition Professional 1951617828 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 001926 IA Yes

Addresses

Primary practice location

527 Broad St
Story City, IA 50248-1133

Mailing address

527 Broad St
Story City, IA 50248-1133
Phone (515) 230-6644

Other providers in Story City, IA

All providers in Story City, IA · Registered Dietitian in Iowa

Sources for this page

Verify at the official NPI Registry.