Individual provider Active NPI

Erin Hurst, MS, RDN, LD

  • Registered Dietitian
  • Granger, IN
National Provider Identifier
1598218950
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
37002369A Issued in IN
Practice address
6910 N Main St Unit 24a
Granger, IN 46530-8845
Phone
(574) 440-8700
Fax
(574) 440-8701
NPI assigned
Aug 2, 2016
Last updated
Dec 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 37002369A IN Primary
Registered Dietitian 133V00000X NU

Addresses

Primary practice location

6910 N Main St Unit 24a
Granger, IN 46530-8845

Mailing address

59741 Tyholland LN
Mishawaka, IN 46544-9715
Phone (574) 440-8700

Other practice location 1

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-2085

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
Master of Science

State licenses

LicenseStateTypeSpecialty
37002369AINMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Erin Hurst Nutrition and Wellness Dietitian, Registered CurrentSince Dec 17, 2023 Accepting new patients

Locations

6910 N Main St
Unit 24A
Granger, IN 46530
Phone (574) 318-4956

6301 University Commons
Ste 430
South Bend, IN 46635
Phone (574) 968-2851

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1598218950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59741 TYHOLLAND LN",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465449715",
            "telephone_number": "574-440-8700",
            "fax_number": "574-440-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 N MAIN ST UNIT 24A",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465308845",
            "telephone_number": "574-440-8700",
            "fax_number": "574-440-8701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5215 Holy Cross Pkwy",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465451469",
            "country_code": "US",
            "telephone_number": "574-335-2085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURST",
        "first_name": "ERIN",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37002369A",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granger, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.

Verify at the official NPI Registry.