Individual provider Active NPI

Erin Marie O'Donnell

  • Speech-Language Assistant
  • Wesley Chapel, FL
National Provider Identifier
1083344147
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SI5040 Issued in FL
Practice address
2370 Bruce B Downs Blvd Ste 300
Wesley Chapel, FL 33544-9215
Phone
(813) 592-8029
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 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 Assistant 2355S0801X SI5040 FL Primary

Addresses

Primary practice location

2370 Bruce B Downs Blvd Ste 300
Wesley Chapel, FL 33544-9215

Mailing address

2370 Bruce B Downs Blvd Ste 300
Wesley Chapel, FL 33544-9215
Phone (813) 592-8029

Other identifiers 1

IdentifierTypeStateIssuer
SI5040OtherFLSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://speechtherapytampa.com/?gclid=Cj0KCQjwwJuVBhCAARIsAOPwGAQfbih2n9oeBEtC17TCExpu5UnLYQ4WCwYWV9KV9jebbSJZm-ovmBcaAg9uEALw_wcB Direct

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
SI5040FLMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1083344147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 BRUCE B DOWNS BLVD STE 300",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335449215",
            "telephone_number": "813-592-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 BRUCE B DOWNS BLVD STE 300",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335449215",
            "telephone_number": "813-592-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI5040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SI5040",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://speechtherapytampa.com/?gclid=Cj0KCQjwwJuVBhCAARIsAOPwGAQfbih2n9oeBEtC17TCExpu5UnLYQ4WCwYWV9KV9jebbSJZm-ovmBcaAg9uEALw_wcB",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "2370 Bruce B Downs Blvd Ste 300",
            "city": "Wesley Chapel",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335449215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.