Active NPI
Erika Melissa Bodoin
- Speech-Language Pathologist
- Austin, TX
National Provider Identifier
1184106312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 108280
- Practice address
- 1005 Great Britain Blvd
Austin, TX 78748-6459 - Phone
- (512) 294-9077
- NPI assigned
- Sep 4, 2018
- Last updated
- Sep 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 108280 | TX | Primary |
Addresses
Primary practice location
1005 Great Britain Blvd
Austin, TX 78748-6459
Mailing address
1005 Great Britain Blvd
Austin, TX 78748-6459
Phone (512) 294-9077
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 |
|---|---|---|---|
| 108280 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536019200000",
"number": "1184106312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 GREAT BRITAIN BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787486459",
"telephone_number": "512-294-9077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 GREAT BRITAIN BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787486459",
"telephone_number": "512-294-9077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODOIN",
"first_name": "ERIKA",
"middle_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-04",
"last_updated": "2018-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "108280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
- Weeranun Dechyapirom Bode, M.D.
- Bodhi Leaf, PLLC
- Jakoyah Alexis Bodie
- Emily Anne Bodish, DR
- Alexa Bodman, MD
- Kelly Johanna Bodu, LMFT
- Body Evolution Acupuncture and Wellness, PLLC
- Body Trainers, LLC (Body Trainers Health & Fitness Training Center)
- Neil Odom Boecking, D.C.
- Laural Catherine Boeckman, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.