Amy Ervin, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86291623

Practice address

25401 Harper Ave Ste 1
Saint Clair Shores, MI 48081-2297

Phone

(586) 412-5945

NPI assigned

Nov 17, 2023

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

Other names 1

• Amy Louise Hunter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1326813544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2966 CADILLAC BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142102",
            "telephone_number": "206-407-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25401 HARPER AVE STE 1",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480812297",
            "telephone_number": "586-412-5945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2966 Cadillac Blvd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482142102",
            "country_code": "US",
            "telephone_number": "206-407-5582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "AMY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86291623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "HUNTER",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaitlyn Kelise Ellison, BT
• Empowering Minds, LLC
• Endless Possibilities Counseling Clinic LLC
• Elizabeth Mary Erardi, MS, CF-SLP
• Christina N Eroyan
• Dawn Ervin, CRNA
• Amber Lynn Erving
• Erz Psychotherapy Services
• Kathleen Ann Erz, MA, LLP
• Rachel Escobar, NP

• Registered Dietitian in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.