Active NPI
Erica Weinandy, RD
- Registered Dietitian
- Granger, IN
National Provider Identifier
1417510496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 37002468A
- Practice address
- 3221 Beacon Pkwy
Granger, IN 46530-7196 - Phone
- (574) 647-8460
- NPI assigned
- Apr 16, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1065650 | IL | |
| Registered Dietitian | 133V00000X | 164.005687 | IL | |
| Registered Dietitian | 133V00000X | 37002468A | IN | Primary |
Addresses
Primary practice location
3221 Beacon Pkwy
Granger, IN 46530-7196
Mailing address
726 Dublin Dr
Mishawaka, IN 46545-3589
Phone (312) 593-0172
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eweinandy@beaconhealthsystem.org | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1065650 | IL | MD | Registered Dietitian |
| 164.005687 | IL | MD | Registered Dietitian |
| 37002468A | IN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555372800000",
"number": "1417510496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "726 DUBLIN DR",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465453589",
"telephone_number": "312-593-0172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3221 BEACON PKWY",
"city": "GRANGER",
"state": "IN",
"postal_code": "465307196",
"telephone_number": "574-647-8460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINANDY",
"first_name": "ERICA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-16",
"last_updated": "2019-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "1065650",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.005687",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "37002468A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eweinandy@beaconhealthsystem.org",
"affiliation": "N",
"endpointDescription": "company email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email address",
"address_1": "3221 Beacon Pkwy",
"city": "Granger",
"state": "IN",
"country_code": "US",
"postal_code": "465307196",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Granger, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.