Individual provider Active NPI

Erin Eileen Smith, MA-CCC-SLP

  • Speech-Language Pathologist
  • Palm Bay, FL
National Provider Identifier
1043927007
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA11496 Issued in FL
Practice address
1389 Torgerson Rd SE
Palm Bay, FL 32909-8450
Phone
(407) 637-9633
NPI assigned
Oct 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 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 SA11496 FL Primary

Addresses

Primary practice location

1389 Torgerson Rd SE
Palm Bay, FL 32909-8450

Mailing address

1389 Torgerson Rd SE
Palm Bay, FL 32909-8450
Phone (407) 637-9633

Other names 1

  • Erin Eileen Cullen, Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NV, MT3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230130001922 FL Practitioner - Qualified Speech Language Pathologist 4981075934 Reassigns benefits to 1 organization
I20230913003718 NV Practitioner - Qualified Speech Language Pathologist 4981075934 Reassigns benefits to 1 organization
I20241226000572 MT Practitioner - Qualified Speech Language Pathologist 4981075934 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
Telehealth
Offers telehealth services
Group practices
Elovee Therapy Services PAGroup PAC ID 2668843962, 6 clinicians

Practice addresses (Care Compare)

2106 SE 8TH Ter
Cape Coral, FL 33990-2781
Phone (844) 535-6833

3010 Santa Fe CT
FL 1
Missoula, MT 59808-1730
Phone (844) 535-6833

6605 Grand Montecito Pkwy
Suite 100
Las Vegas, NV 89149-0210
Phone (844) 535-6833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA11496FLMDSpeech-Language Pathologist

Organizations & group practices 1

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": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1043927007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1389 TORGERSON RD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329098450",
            "telephone_number": "407-637-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1389 TORGERSON RD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329098450",
            "telephone_number": "407-637-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIN",
        "middle_name": "EILEEN",
        "credential": "MA-CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "CULLEN,",
            "middle_name": "EILEEN",
            "credential": "MA-CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.