MARY W ERICKSEN (RD LD) – Registered Dietitian, NPI 1346218559

MARY W ERICKSEN (RD LD) is a healthcare provider. based in Saint louis park, Minnesota. specializing in Registered Dietitian. They hold the professional credentials RD LD. They hold a License No. 1087 (MN). The NPI Number for MARY W ERICKSEN (RD LD) is 1346218559

Main info

Female
46 Years Of Experience
Accepts Medicare Assignment
Name
MARY W ERICKSEN (RD LD)
NPI
1346218559
Phone
(952) 541-2500
Address
1665 UTICA AVE S STE 100
Enumeration Date
14 March 2006
Last Update Date
16 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6123711600
Graduation Year
1980 (46 years ago)
PAC ID
8325095029
Group Practice PAC ID
1759293954
Professional Enrollment ID
I20050405000845
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for MARY W ERICKSEN (RD LD)

  • 1665 UTICA AVE S STE 100

    SAINT LOUIS PARK, MN 554163476

    Phone: (952) 541-2500

    Fax: (952) 541-2539

    Type: Location

  • 8170 33RD AVE S

    MINNEAPOLIS, MN 554254516

    Phone:

    Type: Mailing

  • S, East Stephens Drive, Eastern Heights, Bloomington, Monroe County, Indiana, 47408, United States

    MAIL STOP 21110Q

    BLOOMINGTON, MN 554261872

    Phone: (952) 883-5463

    Fax: (952) 883-5395

    Type: Mailing

  • 5100, Gamble Drive, The Shops at West End, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    SUITE 100 MAIL STOP 31200A

    SAINT LOUIS PARK, MN 554161582

    Phone: (952) 593-8777

    Fax: (952) 595-6408

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55416)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759293954View full group profile

Reviews

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Frequently asked questions

Does MARY W ERICKSEN (RD LD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARY W ERICKSEN (RD LD) uses 1346218559.
Does the file indicate MARY W ERICKSEN (RD LD) is practicing under active NPI?
Directory data currently reports MARY W ERICKSEN (RD LD) as active.
What is MARY W ERICKSEN (RD LD)'s primary classification?
Registered Dietitian is the headline specialty for MARY W ERICKSEN (RD LD) here. Clinical services aligned with this taxonomy classification.
What area does MARY W ERICKSEN (RD LD) serve?
MARY W ERICKSEN (RD LD)'s listing highlights Saint Louis Park, Minnesota; more addresses can appear in NPPES.
Why does MARY W ERICKSEN (RD LD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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