Individual provider Active NPI

Ericka N Barrera, M.S., SLP

  • Speech-Language Pathologist
  • Bronx, NY
National Provider Identifier
1023258779
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
017455 Issued in NY
Practice address
291 Revere Ave
Top Floor
Bronx, NY 10465-3307
Phone
(646) 326-1273
Fax
(347) 293-7668
NPI assigned
Feb 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 017455 NY Primary

Addresses

Primary practice location

291 Revere Ave
Top Floor
Bronx, NY 10465-3307

Mailing address

291 Revere Ave
Top Floor
Bronx, NY 10465-3307
Phone (646) 326-1273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
017455NYMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1023258779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 REVERE AVE",
            "address_2": "TOP FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104653307",
            "telephone_number": "646-326-1273",
            "fax_number": "347-293-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 REVERE AVE",
            "address_2": "TOP FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104653307",
            "telephone_number": "646-326-1273",
            "fax_number": "347-293-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRERA",
        "first_name": "ERICKA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "M.S., SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.