Individual provider Active NPI

Carrie Ann Erion, CCC-SLP

  • Speech-Language Pathologist
  • Burnsville, MN
National Provider Identifier
1104076868
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8418 Issued in MN
Practice address
12400 Portland Ave Ste 140
Burnsville, MN 55337-6805
Phone
(952) 898-5700
Fax
(952) 898-5757
NPI assigned
Sep 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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 8418 MN Primary

Addresses

Primary practice location

12400 Portland Ave Ste 140
Burnsville, MN 55337-6805

Mailing address

12400 Portland Ave Ste 140
Burnsville, MN 55337-6805
Phone (952) 898-5700

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
8418MNMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1104076868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 PORTLAND AVE STE 140",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376805",
            "telephone_number": "952-898-5700",
            "fax_number": "952-898-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 PORTLAND AVE STE 140",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376805",
            "telephone_number": "952-898-5700",
            "fax_number": "952-898-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERION",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.