Active NPI
Gemma Maria Erickson, MS, RD, LDN
- Registered Dietitian
- Chadds Ford, PA
National Provider Identifier
1609696574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN008708
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN008708 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andersons Nutrition | Dietitian, Registered | Current | Accepting new patients |
| Andersons Nutrition | Dietitian, Registered | Current | 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.