Individual provider Active NPI

Erin Elizabeth Redgrave, RDN

  • Registered Dietitian
  • Crozet, VA
National Provider Identifier
1326645557
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86154641 Issued in VA
Practice address
1055 Old Fox Trail LN
Crozet, VA 22932-3141
Phone
(434) 326-2484
NPI assigned
Oct 1, 2020
Last updated
Oct 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X 86154641 VA
Sports Dietetics Nutrition Registered Dietitian 133VN1501X 86154641 VA
Registered Dietitian 133V00000X 86154641 VA Primary

Addresses

Primary practice location

1055 Old Fox Trail LN
Crozet, VA 22932-3141

Mailing address

1055 Old Fox Trail LN
Crozet, VA 22932-3141
Phone (434) 326-2484

Other identifiers 1

IdentifierTypeStateIssuer
86154641OtherVACOMMISSION OF DIETETIC REGISTRY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://my.practicebetter.io/#/p/home Direct

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
86154641VAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud Health Medical Group, P.a. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1326645557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 OLD FOX TRAIL LN",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229323141",
            "telephone_number": "434-326-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 OLD FOX TRAIL LN",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229323141",
            "telephone_number": "434-326-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDGRAVE",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "VA",
            "license": "86154641",
            "primary": false
        },
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "VA",
            "license": "86154641",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "86154641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION OF DIETETIC REGISTRY",
            "identifier": "86154641",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://my.practicebetter.io/#/p/home",
            "affiliation": "N",
            "endpointDescription": "Better Practice: Client Portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1055 Old Fox Trail Ln",
            "city": "Crozet",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229323141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crozet, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.