Individual provider Active NPI

Elizabeth Y Erickson, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Alexandria, LA
National Provider Identifier
1033322342
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5182 Issued in LA
Practice address
4515 Eddie Williams Ave
Alexandria, LA 71302-3628
Phone
(318) 443-4572
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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 5182 LA Primary

Addresses

Primary practice location

4515 Eddie Williams Ave
Alexandria, LA 71302-3628

Mailing address

4515 Eddie Williams Ave
Alexandria, LA 71302-3628
Phone (318) 443-4572

Other practice location 1

5012 Pheasant Run
Alexandria, LA 71303-2450
Phone (318) 542-9154

Other identifiers 1

IdentifierTypeStateIssuer
1300063MedicaidLA

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
5182LAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rapides Parish School Board PastSince Feb 24, 2022 Accepting new patients
Rapides Parish School Board PastSince Feb 24, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1033322342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 EDDIE WILLIAMS AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713023628",
            "telephone_number": "318-443-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 EDDIE WILLIAMS AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713023628",
            "telephone_number": "318-443-4572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5012 Pheasant Run",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713032450",
            "country_code": "US",
            "telephone_number": "318-542-9154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "ELIZABETH",
        "middle_name": "Y",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "5182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300063",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.