Active NPI
Erin Eileen Smith, MA-CCC-SLP
- Speech-Language Pathologist
- Palm Bay, FL
National Provider Identifier
1043927007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA11496
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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,
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NV, MT
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| SA11496 | FL | MD | Speech-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.