Individual provider Active NPI

Erin Louise Burns, SLP

  • Speech-Language Pathologist
  • Loogootee, IN
National Provider Identifier
1043762842
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22005469A Issued in IN
Practice address
1 Loogootee Plaza
Loogootee, IN 47553
Phone
(812) 709-3286
Fax
(812) 709-3287
NPI assigned
Oct 27, 2016
Last updated
Oct 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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 22005469A IN Primary

Addresses

Primary practice location

1 Loogootee Plaza
Loogootee, IN 47553

Mailing address

12501 E 200 S
Loogootee, IN 47553-5364
Phone (812) 709-3286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161107000521 IN Practitioner - Qualified Speech Language Pathologist 8325326796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harvest Health and Rehab LLCGroup PAC ID 9335427798, 21 clinicians

Practice addresses (Care Compare)

300 E Broadway St
Loogootee, IN 47553-1708
Phone (812) 709-3286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22005469AINMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin County Urgent Care LLC CurrentSince Aug 13, 2023 Accepting new patients
Harvest Health & Rehab LLC Speech-Language Pathologist CurrentSince Nov 1, 2016 Accepting new patients

Locations

1 Loogootee Plz
Loogootee, IN 47553
Phone (812) 295-3346

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1043762842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 E 200 S",
            "city": "LOOGOOTEE",
            "state": "IN",
            "postal_code": "475535364",
            "telephone_number": "812-709-3286",
            "fax_number": "812-709-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LOOGOOTEE PLAZA",
            "city": "LOOGOOTEE",
            "state": "IN",
            "postal_code": "47553",
            "telephone_number": "812-709-3286",
            "fax_number": "812-709-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "ERIN",
        "middle_name": "LOUISE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22005469A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loogootee, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.