Individual provider Active NPI

Ereka Bishop, RD, MPA

  • Registered Dietitian
  • Redding, CA
National Provider Identifier
1720463540
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
912513 Issued in OR
Practice address
1896 Lakeside Dr
Redding, CA 96001-6019
Phone
(530) 526-3315
Fax
(877) 775-2456
NPI assigned
Jul 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 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 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

Enrollment IDStateProvider typePAC IDDetails
I20221004003370 CA Practitioner - Registered Dietitian Or Nutrition Professional 7911383641 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
912513ORMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Health by Ereka, LLC Dietitian, Registered CurrentSince Sep 16, 2022 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.