Active NPI
Hillary E Ervin, RD, LDN
- Registered Dietitian
- Jacksonville, FL
National Provider Identifier
1568246239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 11261
- Practice address
- 5180 Julington Forest Dr S
Jacksonville, FL 32258-3484 - Phone
- (757) 450-9041
- NPI assigned
- Aug 23, 2023
- 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 | 11261 | FL | Primary |
Addresses
Primary practice location
5180 Julington Forest Dr S
Jacksonville, FL 32258-3484
Mailing address
5180 Julington Forest Dr S
Jacksonville, FL 32258-3484
Phone (757) 450-9041
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 |
|---|---|---|---|
| 11261 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1568246239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5180 JULINGTON FOREST DR S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322583484",
"telephone_number": "757-450-9041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5180 JULINGTON FOREST DR S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322583484",
"telephone_number": "757-450-9041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERVIN",
"first_name": "HILLARY",
"middle_name": "E",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-23",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "11261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.