Active NPI
Erin R Nelson, RD
- Registered Dietitian
- Isleta, NM
National Provider Identifier
1346480035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD-0865
- Practice address
- 01 Sagebrush Street
Isleta, NM 87022 - Phone
- (214) 348-5557
- Fax
- (214) 348-5898
- NPI assigned
- Feb 20, 2009
- Last updated
- May 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT80500 | TX | |
| Registered Dietitian | 133V00000X | LD-0865 | NM | Primary |
Addresses
Primary practice location
01 Sagebrush Street
Isleta, NM 87022
Mailing address
P.O Box 640
Isleta, NM 87022
Phone (505) 869-3200
Other names 1
- Erin R Lichty
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD-0865 | NM | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338249600000",
"number": "1346480035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O BOX 640",
"city": "ISLETA",
"state": "NM",
"postal_code": "87022",
"telephone_number": "505-869-3200",
"fax_number": "505-869-4881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "01 SAGEBRUSH STREET",
"city": "ISLETA",
"state": "NM",
"postal_code": "87022",
"telephone_number": "214-348-5557",
"fax_number": "214-348-5898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "ERIN",
"middle_name": "R",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-20",
"last_updated": "2012-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT80500",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NM",
"license": "LD-0865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "LICHTY",
"middle_name": "R",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Isleta, NM
- Shirley I Jojola, RPH
- Lisen A. Krueger, RDH
- Mariela Victoria Leyba, RDH
- Krystal Rachelle Lucero, LSW
- Christine M Murphy, RDH, BS
- Riley Nelson, MD
- Pueblo of Isleta (Pueblof of Isleta EMS)
- Pueblo of Isleta (Isleta Health Center BH)
- Pueblo of Isleta (Isleta Health Center)
- Pueblo of Isleta (Pueblo of Isleta Dental Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.