Active NPI
Brooke Ann Erickson, RDN
- Registered Dietitian
- North Little Rock, AR
National Provider Identifier
1407476245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1932
- Practice address
- 3719 Lakeshore Dr
North Little Rock, AR 72116-9032 - Phone
- (210) 316-9826
- NPI assigned
- Apr 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 1932 | AR | Primary |
Addresses
Primary practice location
3719 Lakeshore Dr
North Little Rock, AR 72116-9032
Mailing address
3719 Lakeshore Dr
North Little Rock, AR 72116-9032
Phone (210) 316-9826
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 |
|---|---|---|---|
| 1932 | AR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Dietitian, Registered | Current | Accepting new patients |
Interoperability endpoints
- brookeerickson@tdh.allscriptsdirect.net
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587513600000",
"number": "1407476245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3719 LAKESHORE DR",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721169032",
"telephone_number": "210-316-9826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3719 LAKESHORE DR",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721169032",
"telephone_number": "210-316-9826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "BROOKE",
"middle_name": "ANN",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-22",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AR",
"license": "1932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.