Organization Active NPI

Erica Pierce Renal Rd LLC

  • Registered Dietitian
  • Jackson, MI
National Provider Identifier
1649965161
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
ERICA PIERCE RENAL RD LLC
Practice address
4381 Scott Carpenter Dr
Jackson, MI 49201-9005
Phone
(517) 290-6216
NPI assigned
Apr 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
Erica Pierce
Title
Dietitian
Phone
(517) 290-6216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

4381 Scott Carpenter Dr
Jackson, MI 49201-9005

Mailing address

4381 Scott Carpenter Dr
Jackson, MI 49201-9005
Phone (517) 290-6216

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1649965161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4381 SCOTT CARPENTER DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019005",
            "telephone_number": "517-290-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4381 SCOTT CARPENTER DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019005",
            "telephone_number": "517-290-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICA PIERCE RENAL RD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "517-290-6216"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.