Active NPI
Erin Famulare, R.D., L.D.N.
- Registered Dietitian
- Annapolis, MD
National Provider Identifier
1609216654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DX3240
- Practice address
- 2000 Medical Pkwy
Ste 605
Annapolis, MD 21401-3742 - Phone
- (410) 266-5667
- Fax
- (410) 266-9332
- NPI assigned
- Jul 4, 2013
- Last updated
- Feb 1, 2024
- 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 | DX3240 | MD | Primary |
Addresses
Primary practice location
2000 Medical Pkwy
Ste 605
Annapolis, MD 21401-3742
Mailing address
PO Box 12622
Belfast, ME 04915-4017
Phone (443) 481-6460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y9100003 | Other | MD | BCBS |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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": "1372896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1609216654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12622",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154017",
"telephone_number": "443-481-6460",
"fax_number": "443-481-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 MEDICAL PKWY",
"address_2": "STE 605",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013742",
"telephone_number": "410-266-5667",
"fax_number": "410-266-9332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAMULARE",
"first_name": "ERIN",
"credential": "R.D., L.D.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-04",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "DX3240",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y9100003",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.