Active NPI
Eric Williamson, RD, PHD, CSSD, CSCS
- Registered Dietitian
- Tucson, AZ
National Provider Identifier
1518733641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86242620
- Practice address
- 7990 E Snyder Rd Apt 9106
Tucson, AZ 85750-9018 - Phone
- (647) 381-9220
- NPI assigned
- Nov 29, 2023
- Sex
- Male
- 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 | 86242620 | AZ | Primary |
Addresses
Primary practice location
7990 E Snyder Rd Apt 9106
Tucson, AZ 85750-9018
Mailing address
7990 E Snyder Rd Apt 9106
Tucson, AZ 85750-9018
Phone (647) 381-9220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 22, 2023 through Aug 22, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86242620 | AZ | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1518733641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7990 E SNYDER RD APT 9106",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857509018",
"telephone_number": "647-381-9220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7990 E SNYDER RD APT 9106",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857509018",
"telephone_number": "647-381-9220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "ERIC",
"credential": "RD, PHD, CSSD, CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-29",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AZ",
"license": "86242620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.