Active NPI
Erin B Crofoot, MA CCC-SLP
- Speech-Language Pathologist
- Merriam, KS
National Provider Identifier
1154601425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3050
- Practice address
- 100000 W. 75TH St.
Suite 250
Merriam, KS 66204 - Phone
- (913) 894-1910
- Fax
- (913) 894-1174
- NPI assigned
- Aug 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3050 | KS | Primary |
Addresses
Primary practice location
100000 W. 75TH St.
Suite 250
Merriam, KS 66204
Mailing address
610 S Roosevelt St
Marion, KS 66861-1360
Phone (316) 617-8097
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3050 | KS | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313625600000",
"number": "1154601425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 S ROOSEVELT ST",
"city": "MARION",
"state": "KS",
"postal_code": "668611360",
"telephone_number": "316-617-8097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100000 W. 75TH ST.",
"address_2": "SUITE 250",
"city": "MERRIAM",
"state": "KS",
"postal_code": "66204",
"telephone_number": "913-894-1910",
"fax_number": "913-894-1174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROFOOT",
"first_name": "ERIN",
"middle_name": "B",
"credential": "MA CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-18",
"last_updated": "2011-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "3050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merriam, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.