Active NPI
Kendra Rovello Erickson, RDN, LD
- Registered Dietitian
- Garnett, KS
National Provider Identifier
1770025371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2042
- Practice address
- 421 S Maple St
Garnett, KS 66032-1334 - Phone
- (913) 314-8765
- NPI assigned
- Nov 14, 2016
- Last updated
- Nov 14, 2016
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2042 | KS | Primary |
Addresses
Primary practice location
421 S Maple St
Garnett, KS 66032-1334
Mailing address
4813 W 121St St
Overland Park, KS 66209-1586
Phone (913) 314-8765
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2042 | KS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479081600000",
"number": "1770025371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4813 W 121ST ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662091586",
"telephone_number": "913-314-8765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 S MAPLE ST",
"city": "GARNETT",
"state": "KS",
"postal_code": "660321334",
"telephone_number": "913-314-8765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "KENDRA",
"middle_name": "ROVELLO",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-14",
"last_updated": "2016-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "2042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garnett, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.