Active NPI
Erin Michelle Hildebrandt, ATC, RN, CPNP-PC
- Pediatric Nurse Practitioner
- San Diego, CA
National Provider Identifier
1669976270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 20172864
- Practice address
- 7090 Miratech Dr
San Diego, CA 92121-3109 - Phone
- (858) 304-6440
- NPI assigned
- Mar 19, 2018
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 20172864 | OH | Primary |
Addresses
Primary practice location
7090 Miratech Dr
San Diego, CA 92121-3109
Mailing address
7090 Miratech Dr
San Diego, CA 92121-3109
Phone (858) 304-6440
Other names 1
- Erin Michelle Richardson
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
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20172864 | OH | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cortica Healthcare Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/14973/brand/8/csg/1/fhir/r4
- erin.hildebrandt.1@14973.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Health Service Clinic/Center
- San Diego, CA
- NPI 1801288535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521417600000",
"number": "1669976270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7090 MIRATECH DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213109",
"telephone_number": "858-304-6440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7090 MIRATECH DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213109",
"telephone_number": "858-304-6440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILDEBRANDT",
"first_name": "ERIN",
"middle_name": "MICHELLE",
"credential": "ATC, RN, CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-19",
"last_updated": "2018-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "20172864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "RICHARDSON",
"middle_name": "MICHELLE",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
- Hilber Psychological Services a Professional Corporation
- Hilber Psychological Services a Professional Corporation
- Hilber Psychological Services a Professional Corporation
- Tyler Anthony Hilborne
- Candace Jean Hildebrandt, PSY.D, MFT
- Kurt Hermann Hildebrandt, MD
- Ryan Hildebrandt
- Amber Nicole Hildreth, D.O
- John S Hildreth, RN
- Hadassah Hilewitz, N.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.