Individual provider Active NPI

Erin Berentson, MPH, RDN, LRD

  • Registered Dietitian
  • Bottineau, ND
National Provider Identifier
1316449705
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
936 Issued in ND
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

LicenseStateTypeSpecialty
936NDMDRegistered Dietitian

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X
Registered Dietitian 133V00000X 936 ND Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.