Ericka Koffel Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

ERICKA KOFFEL NUTRITION, LLC

Practice address

2925 William Penn Hwy Ste 306
Easton, PA 18045-5283

Phone

(484) 554-0124

NPI assigned

Apr 11, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ericka Lindsay Koffel, RDN, LDN, CHWC

Title

Registered Dietitian Nutritionist

Phone

(609) 903-1866

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1841985280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 DOGWOOD ST",
            "city": "BALLY",
            "state": "PA",
            "postal_code": "195039684",
            "telephone_number": "609-903-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 WILLIAM PENN HWY STE 306",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455283",
            "telephone_number": "484-554-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICKA KOFFEL NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "KOFFEL",
        "authorized_official_first_name": "ERICKA",
        "authorized_official_middle_name": "LINDSAY",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "609-903-1866",
        "authorized_official_credential": "RDN, LDN, CHWC"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Easton, PA
• Providers in Easton, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.