Active NPI
Erica McCreary
- Speech-Language Pathologist
- Elkton, MD
National Provider Identifier
1073079307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 09037
- Practice address
- 201 Booth St
Elkton, MD 21921-5618 - Phone
- (410) 996-5450
- NPI assigned
- Feb 12, 2019
- Last updated
- Oct 30, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 01634L | MD | MD | Speech-Language Pathologist |
| 09037 | MD | MD | Speech-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
- Stephen McCann, APRN
- Caryn Nmi McCardell, LCSW-C
- Kerry Kathleen McCommons, LCPC
- Anastasia Crystal McCoy, FNP-C
- John Anthony McCracken Jr., MPT
- McDonald Chiropractic, PC
- Brian Michael McDonald, D.C.
- Linda Tack McDougal, MA, LCPC
- Wendy Marie McGhee, RNC, MSN, NNP
- Marsha F McGlinchey, LCPC,ATR,CODP,CCDP
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.