Active NPI
Ereka Bishop, RD, MPA
- Registered Dietitian
- Redding, CA
National Provider Identifier
1720463540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 912513
- Practice address
- 1896 Lakeside Dr
Redding, CA 96001-6019 - Phone
- (530) 526-3315
- Fax
- (877) 775-2456
- NPI assigned
- Jul 22, 2015
- Last updated
- Sep 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 912513 | OR | Primary |
Addresses
Primary practice location
1896 Lakeside Dr
Redding, CA 96001-6019
Mailing address
1896 Lakeside Dr
Redding, CA 96001-6019
Phone (530) 526-3315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1896 Lakeside Dr
Redding, CA 96001-6019
Phone (530) 526-3315
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 912513 | OR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Health by Ereka, LLC | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Interoperability endpoints
- ereka.bishoprd.p1@direct.schc.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1720463540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1896 LAKESIDE DR",
"city": "REDDING",
"state": "CA",
"postal_code": "960016019",
"telephone_number": "530-526-3315",
"fax_number": "877-775-2456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1896 LAKESIDE DR",
"city": "REDDING",
"state": "CA",
"postal_code": "960016019",
"telephone_number": "530-526-3315",
"fax_number": "877-775-2456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "EREKA",
"credential": "RD, MPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-22",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "912513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.