Active NPI
Erika Louise Conley, RD
- Registered Dietitian
- Columbia, MO
National Provider Identifier
1558023481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86278107
- Practice address
- 1905 Cherry Hill Dr
Columbia, MO 65203-5920 - Phone
- (573) 343-4017
- NPI assigned
- Oct 7, 2021
- 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 | 86278107 | CA | Primary |
Addresses
Primary practice location
1905 Cherry Hill Dr
Columbia, MO 65203-5920
Mailing address
719 N College Ave
Claremont, CA 91711-3922
Phone (203) 908-5545
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86278107 | Other | CA | CDR |
| 2023000385 | Other | MO | MISSOURI DIVISION OF PROFESSIONAL REGISTRATION |
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 |
|---|---|---|---|
| 86278107 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bamboo Nutrition, LLC | Dietitian, Registered | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1558023481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 N COLLEGE AVE",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917113922",
"telephone_number": "203-908-5545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 CHERRY HILL DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652035920",
"telephone_number": "573-343-4017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLEY",
"first_name": "ERIKA",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-07",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86278107",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR",
"identifier": "86278107",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI DIVISION OF PROFESSIONAL REGISTRATION",
"identifier": "2023000385",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.