Kenneth E Erickson

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

1866 Issued in VA

Practice address

1337 Towne Square Blvd NW
Roanoke, VA 24012-1610

Phone

(540) 362-2770

Fax

(304) 324-8308

NPI assigned

Nov 5, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1104170760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 TOWNE SQUARE BLVD NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240121610",
            "telephone_number": "540-362-2770",
            "fax_number": "304-324-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 TOWNE SQUARE BLVD NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240121610",
            "telephone_number": "540-362-2770",
            "fax_number": "304-324-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "KENNETH",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "VA",
            "license": "1866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tammy Epperly, LCSW
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• Jessica S Ericsson, MSN- FNP
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• Janna B. Erlien, PA-C
• Hillary Erp, MS, CF-SLP
• Elizabeth Mowles Erwin, LPC

• Hearing Instrument Specialist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Hearing Instrument Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.