Active NPI
Erin J Dickerson, RD
- Registered Dietitian
- Kennewick, WA
National Provider Identifier
1386042398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI 00001245
- Practice address
- 203 W 8TH Ave
Kennewick, WA 99336-5630 - Phone
- (509) 221-5442
- Fax
- (509) 221-5140
- NPI assigned
- Dec 8, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DI 00001245 | WA | Primary |
Addresses
Primary practice location
203 W 8TH Ave
Kennewick, WA 99336-5630
Mailing address
203 W 8TH Ave
Kennewick, WA 99336-5630
Phone (509) 221-5442
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 |
|---|---|---|---|
| DI 00001245 | WA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417996800000",
"number": "1386042398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 W 8TH AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993365630",
"telephone_number": "509-221-5442",
"fax_number": "509-221-5140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 W 8TH AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993365630",
"telephone_number": "509-221-5442",
"fax_number": "509-221-5140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKERSON",
"first_name": "ERIN",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-08",
"last_updated": "2014-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI 00001245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.