Individual provider Active NPI

Gemma Maria Erickson, MS, RD, LDN

  • Registered Dietitian
  • Chadds Ford, PA
National Provider Identifier
1609696574
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN008708 Issued in PA
Practice address
830 McComb LN
Chadds Ford, PA 19317-9222
Phone
(610) 806-2558
NPI assigned
Oct 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN008708 PA Primary

Addresses

Primary practice location

830 McComb LN
Chadds Ford, PA 19317-9222

Mailing address

830 McComb LN
Chadds Ford, PA 19317-9222
Phone (610) 806-2558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250616002470 PA Practitioner - Registered Dietitian Or Nutrition Professional 9830600907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andersons NutritionGroup PAC ID 7810252699, 10 clinicians

Practice addresses (Care Compare)

142 Wallace Ave
Suite 105
Downingtown, PA 19335-2643
Phone (602) 770-7611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN008708PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Andersons Nutrition Dietitian, Registered CurrentSince Jun 16, 2025 Accepting new patients
Andersons Nutrition Dietitian, Registered CurrentSince Jun 16, 2025 Accepting new patients
Andersons Nutrition Dietitian, Registered Past Accepting new patients

Locations

142 Wallace Ave
#105
Downingtown, PA 19335
Phone 60277076112

Organizations & group practices 3

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": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1609696574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 MCCOMB LN",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179222",
            "telephone_number": "610-806-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 MCCOMB LN",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179222",
            "telephone_number": "610-806-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "GEMMA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN008708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadds Ford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.