Individual provider Active NPI

Erika Marie Green, RD,LDN

  • Registered Dietitian
  • Matthews, NC
National Provider Identifier
1922156322
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L003230 Issued in NC
Practice address
2536A Plantation Center Dr
Matthews, NC 28105-5298
Phone
(980) 230-9370
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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 L003230 NC Primary

Addresses

Primary practice location

2536A Plantation Center Dr
Matthews, NC 28105-5298

Mailing address

9617 Commons East Dr
#D
Charlotte, NC 28277-1715
Phone (980) 230-9370

Other practice location 1

4900 California Ave
Bakersfield, CA 93309-7024
Phone (704) 387-4460

Other names 1

  • Erika Marie Spann Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230222001961 CA Practitioner - Registered Dietitian Or Nutrition Professional 1658743646 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L003230NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Independent Physicians Association Inc CurrentSince Jan 1, 2023 Accepting new patients
Dietitian Services LLC CurrentSince Mar 25, 2024 Accepting new patients
CM Providers Medical Group, PC CurrentSince May 24, 2023 Accepting new patients

Locations

4900 California Ave
Bakersfield, CA 93309
Phone (404) 273-4596

11180 Warner Ave
Ste 463
Fountain Vly, CA 92708
Phone (714) 241-9200

1501 Superior Ave
Ste 205
Newport Beach, CA 92663
Phone (866) 433-9943

625 The City Dr S
Ste 310
Orange, CA 92868
Phone (949) 674-1548

1315 Matthews Mint Hill Rd
Matthews, NC 28105
Phone (704) 305-8711

Organizations & group practices 3

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1922156322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9617 COMMONS EAST DR",
            "address_2": "#D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771715",
            "telephone_number": "980-230-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2536A PLANTATION CENTER DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055298",
            "telephone_number": "980-230-9370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4900 California Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933097024",
            "country_code": "US",
            "telephone_number": "704-387-4460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ERIKA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RD,LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L003230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIKA",
            "last_name": "SPANN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.