Individual provider Active NPI

Eric William Ernest, MS

  • Speech-Language Pathologist
  • Plymouth, MN
National Provider Identifier
1093989261
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1181-154 Issued in WI
Practice address
14425 8TH Ave N
Plymouth, MN 55447-4456
Phone
(763) 607-2091
Fax
(763) 550-1633
NPI assigned
Apr 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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 1181-154 WI Primary

Addresses

Primary practice location

14425 8TH Ave N
Plymouth, MN 55447-4456

Mailing address

14425 8TH Ave N
Plymouth, MN 55447-4456
Phone (763) 607-2091

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1181-154WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Interactive Therapy Services of Minnesota Inc Speech-Language Pathologist CurrentSince Jan 5, 2025 Accepting new patients

Locations

2495 Maplewood Dr N
Ste 313
Maplewood, MN 55109
Phone (651) 770-8884

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": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1093989261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14425 8TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474456",
            "telephone_number": "763-607-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14425 8TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474456",
            "telephone_number": "763-607-2091",
            "fax_number": "763-550-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERNEST",
        "first_name": "ERIC",
        "middle_name": "WILLIAM",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-17",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "1181-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.