| Erica Card, RDN | |
|
412 S 700 W, American Fork, UT 84003-4306 | |
| (972) 469-5020 | |
| Not Available |
| Full Name | Erica Card |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 412 S 700 W, American Fork, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376272419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DN007767 (Pennsylvania) | Secondary |
| 133V00000X | Dietitian, Registered | 12478333-4901 (Utah) | Primary |
| Provider Name | Geisinger Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Provider Name | Geisinger-hm Joint Venture Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1144876137 PECOS PAC ID: 1355676370 Enrollment ID: O20190826000803 |
| Mailing Address | Practice Location Address |
|---|---|
| Erica Card, RDN 412 S 700 W, American Fork, UT 84003-4306 Ph: (972) 469-5020 | Erica Card, RDN 412 S 700 W, American Fork, UT 84003-4306 Ph: (972) 469-5020 |
Michelle Hawkins, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1395 N 1000 E, American Fork, UT 84003 Phone: 801-702-0435 | |
Madison Taylor Moore, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 376 S 1080 W Unit 203, American Fork, UT 84003 Phone: 435-862-0896 | |
Madelyn Johnson, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 395 W 1200 N, American Fork, UT 84003 Phone: 801-960-6665 | |
Jodi L Parker, CD Dietitian Medicare: Medicare Enrolled Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 801-855-3300 | |
Kylie Michelle Duensing, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 98 N 1100 E Ste 302, American Fork, UT 84003 Phone: 801-492-2290 | |
Julie D Bree, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 801-855-3461 |