Individual provider Active NPI

Erin Zepp, RD

  • Registered Dietitian
  • Springfield, IL
National Provider Identifier
1700183480
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.005410 Issued in IL
Practice address
320 E Carpenter St
Springfield, IL 62702-5185
Phone
(217) 788-3948
Fax
(217) 527-3209
NPI assigned
Feb 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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 164.005410 IL Primary

Addresses

Primary practice location

320 E Carpenter St
Springfield, IL 62702-5185

Mailing address

PO Box 3428
Springfield, IL 62708-3428
Phone (217) 588-2624

Other practice location 1

812 N Logan Ave
Danville, IL 61832-3752
Phone (217) 443-5000 ext. 4609

Other practice location 2

319 E Madison St Ste 1F
Springfield, IL 62701
Phone (217) 788-3948

Other identifiers 1

IdentifierTypeStateIssuer
164005410OtherILRD LICENSE

Other names 1

  • Erin Spenner Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110407000902 IL Practitioner - Registered Dietitian Or Nutrition Professional 7416131966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Medical CenterGroup PAC ID 7315835949, 131 clinicians

Practice addresses (Care Compare)

320 E Carpenter St
Springfield, IL 62702-5185
Phone (217) 788-3948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
164.005410ILMDRegistered Dietitian
164005410ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Medical Center CurrentSince Jun 17, 2013 Accepting new patients
Memorial Health Partners Current Accepting new patients
Springfield Clinic LLP Current Accepting new patients
Memorial Medical Center CurrentSince Jun 17, 2013 Accepting new patients
Sodexo Operations LLC Dietitian, Registered Past Accepting new patients

Locations

319 E Madison St
Ste 1F
Springfield, IL 62701
Phone (217) 788-3948

320 E Carpenter St
Springfield, IL 62702
Phone (217) 523-0808

701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100

Interoperability endpoints

  • Direct secure messaging: erinzepp@memorial.allscriptsdirect.net
  • Direct secure messaging: erinzepp@sfc.allscriptsdirect.net

Organizations & group practices 5

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": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1700183480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3428",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627083428",
            "telephone_number": "217-588-2624",
            "fax_number": "217-757-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E CARPENTER ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025185",
            "telephone_number": "217-788-3948",
            "fax_number": "217-527-3209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 N Logan Ave",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "IL",
            "postal_code": "618323752",
            "country_code": "US",
            "telephone_number": "217-443-5000 x4609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "319 E Madison St Ste 1F",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "62701",
            "country_code": "US",
            "telephone_number": "217-788-3948",
            "fax_number": "217-527-3209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEPP",
        "first_name": "ERIN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-16",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.005410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RD LICENSE",
            "identifier": "164005410",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "SPENNER",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.