Miranda Duffy Eriksen

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

4235 Francis Ave N Apt 204
Seattle, WA 98103-7126

Phone

(206) 355-9119

NPI assigned

Jun 30, 2020

Last updated

Jun 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sensibly Sprouted LLCGroup PAC ID 4789019241, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sensibly Sprouted LLC

  • Registered Dietitian
  • Bellingham, WA
  • NPI 1700368420

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1275150773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 FRANCIS AVE N APT 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 FRANCIS AVE N APT 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037126",
            "telephone_number": "206-355-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERIKSEN",
        "first_name": "MIRANDA",
        "middle_name": "DUFFY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thane M Erickson, PH.D.
• Tiffany Nicole Erickson, PHARMD, BCPS
• Erik C Lilja DPM PLLC
• Erik P. Balinghasay, DDS, Inc.
• Erika Straus-Bowers LMHC PLLC
• Justice Lynn Erikson, ND, LSWAIC
• Miklavz K Erjavec, M.D.
• Erjing Cui Counseling
• Erke & Carpenter PLLC (Springbrook Dental)
• Megan Uhlorn Erke, DDS

• Registered Dietitian in Seattle, WA
• Providers in Seattle, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.

Verify at the official NPI Registry.