Erica D Eagle

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2221 W Detroit St
Broken Arrow, OK 74012-3628

Phone

(918) 615-6492

Fax

(918) 615-6493

NPI assigned

Jun 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Erica D Eagle-Hefflin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Collaborative Therapy Services Inc

  dba Tulsa Sunshine Center

  • Multi-Specialty Clinic/Center
  • Broken Arrow, OK
  • NPI 1932344835
  NPD (past)
• Ramsey Speech Pathology, LLC

  • Speech-Language Pathologist
  • Muldrow, OK
  • NPI 1245522390
  NPD (past)

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1144845793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 N 26TH ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740146731",
            "telephone_number": "918-851-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 W DETROIT ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740123628",
            "telephone_number": "918-615-6492",
            "fax_number": "918-615-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGLE",
        "first_name": "ERICA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "EAGLE-HEFFLIN",
            "middle_name": "D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dustin O. Hayes, D.O., P.C. (Eclipse Mental Health Services)
• DX Lab
• Dynamicare
• Julie Dyson
• E Hospice Group of Oklahoma No 1, LLC (Angels Care Hospice)
• Ashley Brooke Eakin
• Eastern Oklahoma Oral and Maxillofacial Surgeons
• Eastern Oklahoma Oral Maxillofacial Surgeons
• Christopher Eaton, DDS
• Tami Jo Eberle

• Speech-Language Pathologist in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.