Individual provider Active NPI

Erin Elizabeth Gonzalez, MS, RD, LD, CEDS

  • Registered Dietitian
  • Mankato, MN
National Provider Identifier
1902098569
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2668 Issued in MN
Practice address
125 Saint Andrews CT Ste 224
Mankato, MN 56001-3390
Phone
(888) 964-1975
Fax
(877) 743-5351
NPI assigned
Aug 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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 2668 MN Primary

Addresses

Primary practice location

125 Saint Andrews CT Ste 224
Mankato, MN 56001-3390

Mailing address

125 Saint Andrews CT Ste 224
Mankato, MN 56001-3390
Phone (888) 964-1975

Other identifiers 1

IdentifierTypeStateIssuer
248465000MedicaidMN

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2668MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition in Motion Dietitian, Registered PastSince Nov 12, 2023 Accepting new patients

Organizations & group practices 1

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": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1902098569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SAINT ANDREWS CT STE 224",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013390",
            "telephone_number": "888-964-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SAINT ANDREWS CT STE 224",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013390",
            "telephone_number": "888-964-1975",
            "fax_number": "877-743-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "credential": "MS, RD, LD, CEDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "2668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "248465000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.