Active NPI
Erika L Derooy, RD
- Registered Dietitian
- Snohomish, WA
National Provider Identifier
1568746931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI6022450
- Practice address
- 16101 95TH Ave SE
Snohomish, WA 98296-7043 - Phone
- (206) 383-9826
- NPI assigned
- Oct 4, 2011
- 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 | DI6022450 | WA | Primary |
Addresses
Primary practice location
16101 95TH Ave SE
Snohomish, WA 98296-7043
Mailing address
16101 95TH Ave SE
Snohomish, WA 98296-7043
Phone (206) 383-9826
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2017 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI6022450 | WA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1568746931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16101 95TH AVE SE",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982967043",
"telephone_number": "206-383-9826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16101 95TH AVE SE",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982967043",
"telephone_number": "206-383-9826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEROOY",
"first_name": "ERIKA",
"middle_name": "L",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-04",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI6022450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Snohomish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.