Active NPI
Erin Berentson, MPH, RDN, LRD
- Registered Dietitian
- Bottineau, ND
National Provider Identifier
1316449705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 936
- Practice address
- 314 5TH St W Ste 3
Bottineau, ND 58318-1204 - Phone
- (701) 871-2218
- NPI assigned
- Mar 1, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 936 | ND | MD | Registered Dietitian |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Registered Dietitian | 133V00000X | 936 | ND | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
314 5TH St W Ste 3
Bottineau, ND 58318-1204
Mailing address
PO Box 311
Westhope, ND 58793-0311
Phone (701) 871-2218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 8, 2021.
{
"created_epoch": "1519862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1316449705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 311",
"city": "WESTHOPE",
"state": "ND",
"postal_code": "587930311",
"telephone_number": "701-871-2218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 5TH ST W STE 3",
"city": "BOTTINEAU",
"state": "ND",
"postal_code": "583181204",
"telephone_number": "701-871-2218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERENTSON",
"first_name": "ERIN",
"credential": "MPH, RDN, LRD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-01",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ND",
"license": "936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bottineau, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.