Individual provider Active NPI

Erica McCreary

  • Speech-Language Pathologist
  • Elkton, MD
National Provider Identifier
1073079307
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
09037 Issued in MD
Practice address
201 Booth St
Elkton, MD 21921-5618
Phone
(410) 996-5450
NPI assigned
Feb 12, 2019
Last updated
Oct 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 01634L MD
Speech-Language Pathologist 235Z00000X NU
Speech-Language Pathologist 235Z00000X 09037 MD Primary

Addresses

Primary practice location

201 Booth St
Elkton, MD 21921-5618

Mailing address

43 Chesters Way
Elkton, MD 21921-4507
Phone (410) 620-7864

Other practice location 1

410 E MacPhail Rd
Bel Air, MD 21014-4410
Phone (410) 879-2110

Other practice location 2

201 Booth St
Elkton, MD 21921-5618
Phone (410) 996-5450

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

State licenses

LicenseStateTypeSpecialty
01634LMDMDSpeech-Language Pathologist
09037MDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1073079307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 CHESTERS WAY",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219214507",
            "telephone_number": "410-620-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BOOTH ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215618",
            "telephone_number": "410-996-5450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 E MacPhail Rd",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210144410",
            "country_code": "US",
            "telephone_number": "410-879-2110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Booth St",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219215618",
            "country_code": "US",
            "telephone_number": "410-996-5450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCREARY",
        "first_name": "ERICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "01634L",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "09037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.