BETHANY ERICSON (NPI# 1710308804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710308804 |
Entity Type | Individual |
Full Name | BETHANY ERICSON |
Credential | RD, LD |
Practice Address |
351 Sw 9th St Ontario OR 97914-2639 |
Practice Telephone | 2088997933 |
Mailing Telephone | 2088997933 |
Enumeration Date | 2013-12-17 |
Last Update Date | 2019-08-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | LDD10158487 | OR | Dietary & Nutritional Service Providers |
N | 133V00000X | Dietitian, Registered | D-778 | ID | Dietary & Nutritional Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
3325 Pocahontas Rd, Baker City, OR 978141464 | 5415236461 | |
351 Sw 9th St, Ontario, OR 979142639 | 2088997933 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558739011 | Bethany Ericson | Speech-Language Pathologist | 9441 Lbj Fwy, Suite 602, Dallas, TX 75243-4545 | 2015-09-14 |
Street Address |
351 SW 9TH ST |
City | ONTARIO |
State | OR |
Zip Code | 97914-2639 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003870536 | Brad Barlow | Emergency Medicine | 351 Sw 9th St, Ontario, OR 97914-2639 | 2006-04-13 |
1790209898 | Cep America LLC | Emergency Medicine | 351 Sw 9th St, Ontario, OR 97914-2639 | 2017-07-31 |
1821538471 | Lauren Parker | Registered Nurse | 351 Sw 9th St, Ontario, OR 97914-2639 | 2017-03-01 |
1588035885 | Monument Emergency Physicians, LLC | Emergency Medicine | 351 Sw 9th St, Ontario, OR 97914-2639 | 2015-10-13 |
1013385426 | Valerie Lawrence | Dietitian, Registered | 351 Sw 9th St, Ontario, OR 97914-2639 | 2015-09-02 |
1760872212 | Ellie Nagel | Dietitian, Registered | 351 Sw 9th St, Ontario, OR 97914-2639 | 2015-02-04 |
1891191599 | Saint Alphonsus Hospital | Rehabilitation Hospital | 351 Sw 9th St, Ontario, OR 97914-2639 | 2014-11-07 |
1396164737 | Jay Emergency Physicians LLC | Emergency Medicine | 351 Sw 9th St, Ontario, OR 97914-2639 | 2014-04-14 |
1952741118 | Ontario Emergency Specialists, LLC | Emergency Medicine | 351 Sw 9th St, Ontario, OR 97914-2639 | 2013-07-02 |
1275852337 | Saint Alphonsus Medical Center-ontario, Inc. | Emergency Medicine | 351 Sw 9th St, Ontario, OR 97914-2639 | 2010-05-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467925420 | The Family Place D/b/a Tfp Services Therapeutic | Case Manager/Care Coordinator | 390 Ne 2nd St., Ontario, OR 97914 | 2019-01-02 |
1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
1700334117 | Arlene Schwenke | Social Worker | 686 Nw 9th St., Ontario, OR 97914 | 2016-09-14 |
1871990408 | Sally Melissa Sluder | Nurse Practitioner | 351 Sw 9th Ave, Ontario, OR 97914 | 2014-11-25 |
1932460870 | E Patricia Jeanne Engel | Surgery | 1050 Sw 3rd Ave Ste 2600, Ontario, OR 97914 | 2012-06-07 |
1487946521 | Tyler Jepson | Physical Therapist | 1182 Sw 4th Avenue, Ontario, OR 97914 | 2011-05-09 |
1255641577 | Cami Lyn Rebmann | Pharmacist | 728 S 4th Ave, Ontario, OR 97914 | 2010-10-20 |
1295051126 | Project Dove | Case Manager/Care Coordinator | 915-02 Sw 2nd Ave, Ontario, OR 97914 | 2010-04-16 |
1467666024 | Tfp Therapeutic Service, Inc. | Counselor | 390 Ne 2nd Street, Ontario, OR 97914 | 2007-05-10 |
1639381569 | Emeritus Corporation | Assisted Living Facility | 1372 Southwest 8th Avenue, Ontario, OR 97914 | 2007-05-04 |
Find all providers in zip 97914 |
Taxonomy Code | 133V00000X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457763179 | Susan Jason | Dietitian, Registered | 6121 Slocum Rd, Ontario, NY 14519-9111 | 2014-05-29 |
1982029641 | Lindsay Reay Grosvenor | Dietitian, Registered | 1108 Sw 4th St, Ontario, OR 97914-4305 | 2014-03-04 |
1225282387 | Diana Torres | Dietitian, Registered | 3573 Old Archibald Ranch Rd, Ontario, CA 91761-9161 | 2008-11-14 |
1649823287 | Kelly Ritchey | Dietitian, Registered | 715 Richland Mall, Ontario, OH 44906-3802 | 2019-07-23 |
1245686963 | Nasira Burkholder-cooley | Dietitian, Registered | 603 S Milliken Ave, Suite F, Ontario, CA 91761-8102 | 2016-05-11 |
1013385426 | Valerie Lawrence | Dietitian, Registered | 351 Sw 9th St, Ontario, OR 97914-2639 | 2015-09-02 |
1760872212 | Ellie Nagel | Dietitian, Registered | 351 Sw 9th St, Ontario, OR 97914-2639 | 2015-02-04 |
1063833481 | Lian Liu | Dietitian, Registered | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2014-01-02 |
1588094056 | Janelle Fraley | Dietitian, Registered | 1456 Park Ave W, Ontario, OH 44906-2700 | 2013-11-20 |
1073746889 | Kristin Lee Mcelliott | Dietitian, Registered | 351 Sw 9th St, Ontario, OR 97914-2639 | 2009-08-26 |
Find all providers in ONTARIO |
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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.