Active NPI
Erin Elizabeth Clay, MCD, CCC-SLP
- Speech-Language Pathologist
- Caraway, AR
National Provider Identifier
1164577144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP#2408
- Practice address
- 502 West State Street
Caraway, AR 72419-0699 - Phone
- (870) 482-3351
- NPI assigned
- Jan 23, 2007
- 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 | SP#2408 | AR | Primary |
Addresses
Primary practice location
502 West State Street
Caraway, AR 72419-0699
Mailing address
PO Box 192
Caraway, AR 72419-0192
Phone (870) 926-9074
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158834721 | Medicaid | AR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP#2408 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227657600000",
"number": "1164577144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 192",
"city": "CARAWAY",
"state": "AR",
"postal_code": "724190192",
"telephone_number": "870-926-9074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 WEST STATE STREET",
"city": "CARAWAY",
"state": "AR",
"postal_code": "724190699",
"telephone_number": "870-482-3351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAY",
"first_name": "ERIN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "MCD, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2008-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "SP#2408",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158834721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Caraway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.