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Active NPI 1710308804 Individual Practitioner Female Practitioner

Bethany Ericson , RD, LD

Dietitian, Registered • Ontario, OR

✓ Accepts Medicare Assignment Telehealth Available
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Bethany Ericson, RD, LD is a registered Dietitian, Registered practitioner in Ontario, OR. With approximately 14 years of clinical practice since completing medical education in 2012, Bethany Ericson provides healthcare services at the registered practice location at 351 SW 9TH ST.

Bethany Ericson is affiliated with St Lukes Clinic-Treasure Valley Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

351 Sw 9th St

Ontario, OR 979142639

Telephone 2088997933
Associated Practice Facility / Clinic
🏢 Treasure Valley Anesthesia Pc Facility NPI 1215992003

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Ontario, OR

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs Matches City Avg
City Avg: 14.0 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
7 Specialists

Practicing in Ontario, OR (941 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ericson (14 Years) 14 Yrs
Ontario Specialty Average (14.0 Years) 14.0 Yrs

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License OR LDD10158487

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License ID D-778

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Hospital & Practice Group Affiliations

St Lukes Clinic-Treasure Valley Llc

9850 W St Luke's Dr, Nampa, ID 836877912

St Lukes Clinic-Treasure Valley Llc

610 W Hays St, Boise, ID 837025511

Phone: 2083815970

St Lukes Clinic-Treasure Valley Llc

9580 W St Lukes Dr, Nampa, ID 836877912

Phone: 2085052711

St Lukes Clinic-Treasure Valley Llc

9850 St Lukes Dr, Nampa, ID 836877912

St Lukes Clinic-Treasure Valley Llc

608 W Hays St, Boise, ID 837025511

Phone: 2083815970

Secondary Practice Locations

3325 Pocahontas Rd

Baker City, OR 978141464

Phone: 5415236461

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
Dr. Brad Barlow , MD

Emergency Medicine - Emergency Medical Services

NPI 1003870536

Doctor of Medicine (M.D.)

Frederick Starr , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023073426

Certified Registered Nurse Anesthetist

Dr. Joseph Boyle , MD

Emergency Medicine

NPI 1043277536

Doctor of Medicine (M.D.)

Kristin Mcelliott , RD

Dietitian, Registered

NPI 1073746889

Registered Dietitian

Emily Spellman , RDN

Dietitian, Registered

NPI 1083284483

Registered Dietitian Nutritionist

Aaron Gopp , CRNA

Nurse Anesthetist, Certified Registered

NPI 1144284423

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 15, 2019

Registered at 351 SW 9TH ST, ONTARIO, OR 979142639 (Tel: 2088997933)

📍
Updated Practice Location May 16, 2018

Registered at 1859 S TOPAZ WAY STE 100, MERIDIAN, ID 836424401 (Tel: 2082092432)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2018

Dietitian, Registered (License #D-778 in ID)

NPI Profile Active December 17, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 17, 2013

Registered at 351 SW 9TH ST, ONTARIO, OR 979142639 (Tel: 2088997933)

📍
Updated Business Mailing Address December 17, 2013

Registered at 351 SW 9TH ST, ONTARIO, OR 979142639 (Tel: 2088997933)

👤
Provider Name / Credentials Updated December 17, 2013

Recorded as BETHANY ERICSON, RD, LD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2013

Dietitian, Registered (License #LDD10158487 in OR)

🟢
Initial NPI Registration & Enumeration December 17, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710308804
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 17, 2013
Last Update: August 15, 2019
Sole Proprietor: Yes

Mailing Address

351 Sw 9th St

Ontario, OR 979142639

Phone: 2088997933

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.