Individual provider Active NPI

Erin Dickerhoof, RN

  • Registered Nurse
  • Rochester, MN
National Provider Identifier
1497089775
Registry record updated Sep 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R1618349 Issued in MN
Practice address
4554 Savannah Dr NW
Rochester, MN 55901-3866
Phone
(507) 285-0119
NPI assigned
Sep 20, 2009
Sex
Female
Sole proprietor
Yes

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R1618349MNMDRegistered Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R1618349 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

4554 Savannah Dr NW
Rochester, MN 55901-3866

Mailing address

4554 Savannah Dr NW
Rochester, MN 55901-3866
Phone (507) 285-0119

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 20, 2009.

{
    "created_epoch": "1253404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253404800000",
    "number": "1497089775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4554 SAVANNAH DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013866",
            "telephone_number": "507-285-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4554 SAVANNAH DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013866",
            "telephone_number": "507-285-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERHOOF",
        "first_name": "ERIN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-20",
        "last_updated": "2009-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R1618349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2009; 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.