Erica Blacksburg, MS, RD, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

849910 Issued in NY

Practice address

14 Wall St
Suite 1100C
New York, NY 10005-2101

Phone

(347) 761-3198

NPI assigned

Oct 17, 2008

Last updated

Nov 30, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1891947156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WALL ST",
            "address_2": "SUITE 1100C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100052101",
            "telephone_number": "347-761-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WALL ST",
            "address_2": "SUITE 1100C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100052101",
            "telephone_number": "347-761-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKSBURG",
        "first_name": "ERICA",
        "name_prefix": "Ms.",
        "credential": "MS, RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "849910",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "NY",
            "license": "849910",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE EDUCATION DEPT- CERTIFIED DIETITIAN NUTRITIONIST",
            "identifier": "849910",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latoya Blackman, RN
• Marsha T Blackman, CASAC-T
• Mary Chrissen Loy Blackman, OD
• Kristen Blackmon
• Shane Anthony Blackmore, MD
• Zoe Blacksin, MD
• Daryle Marc Blackstock, PHYSICIAN ASSISTANT
• Judith Blackstone, LMHC
• Robin Leigh Pavlich Blackstone, MD
• Delores Blackwell, LCSW

• Registered Dietitian in New York, NY
• Providers in New York, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.