SHANNON ERICKSON


Address: 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619
Phone: 5057278358

SHANNON ERICKSON (NPI# 1518527530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518527530
Entity Type Individual
Full Name SHANNON ERICKSON
Credential RD, LD
Practice Address 601 Dr Martin Luther King Jr Ave Ne
Albuquerque
NM 87102-3619
Mailing Address 2300 Diamond Mesa Trl Sw Apt 4806
Albuquerque
NM 87121-3748
Practice Telephone 5057278358
Enumeration Date 2019-06-20
Last Update Date 2019-06-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered LD-1294 NM Dietary & Nutritional Service Providers

Other Providers SHANNON ERICKSON

NPI Name Taxonomy Address Enumeration
1649491952 Shannon K Erickson Occupational Therapist 8320 City Centre Drive, Suite G, Woodbury, MN 55125 2007-05-02
1760403323 Shannon L Erickson Social Worker 2270 Drew St, Suite C, Clearwater, FL 33765-3344 2006-07-21
1326003153 Shannon Rae Erickson Speech-Language Pathologist 800 Mariners Dr, Kemah, TX 77565 2006-04-17
1730704461 Shannon Erickson Pharmacist 6365 Stagecoach Dr, West Des Moines, IA 50266-8083 2020-06-09

Office Location

Street Address 601 DR MARTIN LUTHER KING JR AVE NE
City ALBUQUERQUE
State NM
Zip Code 87102-3619

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649261611 Gilbert M Martinez Nuclear Medicine 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 2005-10-31
1114533239 Mattie Firlit Dietitian, Registered 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 2020-09-23
1184263303 Seth Tyler Gambone Nurse Anesthetist, Certified Registered 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 2020-01-06
1396218095 Caroline Jane Spencer Dietitian, Registered 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 2019-01-04
1023596491 Jason Michael Rotonda Registered Nurse 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102 2018-07-30
1275010985 Main Street Anesthesia of New Mexico, LLC Anesthesiology 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 2018-07-25
1740779560 Paris Arlette Cook Pharmacist 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 2018-05-07
1386150076 Raiza Stephanie Mena Registered Nurse 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 2017-12-18
1255843710 Bernadette Perea-zamora Registered Nurse 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 2017-10-24
1093237810 Billy Jay Taylor Dietitian, Registered 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 2017-07-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407454937 Julie Wood Acupuncturist 1600 Luna Circle Nw, Albuquerque, NM 87102 2020-10-16
1770121410 Emily Perez Counselor 218 Broadway Ne, Albuquerque, NM 87102 2019-12-12
1417503392 Tess Holtry Behavior Technician 1424 Walter St Nw, Albuquerque, NM 87102 2019-08-15
1942867486 Christy E Cheromiah Behavioral Analyst Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 2019-05-21
1730744103 Faith Petra Maxwell Behavior Technician 900 Arno St, Albuquerque, NM 87102 2019-05-01
1568923761 Storm Swinford Behavioral Analyst Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 2019-03-29
1093276651 Tina Marie Trujillo Behavioral Analyst Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 2019-03-27
1861950370 Meghan Montoya Student in an Organized Health Care Education/Training Program 801 Camino De Salud, Albuquerque, NM 87102 2019-03-05
1174099329 Dilshani N Tyson Counselor 600 1st Street Nw Ste 200, Albuquerque, NM 87102 2018-10-15
1962987925 Tania L Goldfeder Social Worker New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 2018-09-26
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184237075 Kelly Ann Gardiner Dietitian, Registered 9123 Retablo Rd Nw, Albuquerque, NM 87120-7138 2020-08-28
1356954929 Hannah Contrucci Dietitian, Registered 2920 Carlisle Blvd Ne Ste A1, Albuquerque, NM 87110-2867 2020-08-25
1083227656 Advanced Nutrition Services, LLC Dietitian, Registered 2920 Carlisle Blvd Ne, Ste A1, Albuquerque, NM 87110-2867 2020-08-25
1417575267 Valerie Silver Dietitian, Registered 6225 Hannett Ave Ne, Albuquerque, NM 87110-5918 2020-07-08
1295350346 Amanda Montano Dietitian, Registered 9928 Cielito Norte Way Ne, Albuquerque, NM 87122-3222 2020-06-15
1457974420 Juliet Corley Dietitian, Registered 926 Madeira Dr Se, Albuquerque, NM 87108-3618 2020-05-25
1205459740 Haley Snell-sparapany Dietitian, Registered 1520 Tramway Blvd Ne, Albuquerque, NM 87112-4655 2020-05-19
1689294829 Jennifer K Jackson Dietitian, Registered 13017 Bear Dancer Trl Ne, Albuquerque, NM 87112-3726 2020-04-17
1265063424 Adam Hillman Dietitian, Registered 808 Cardenas Dr Ne, Albuquerque, NM 87108-1718 2020-01-27
1962040683 Kristyn Lenore Bawol Dietitian, Registered 1501 San Pedro Dr Se Rm 1047, Albuquerque, NM 87108-5180 2019-12-12
Find all providers in ALBUQUERQUE

Competitor

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City ALBUQUERQUE
Zip Code 87102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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