Samantha K Erickson, MA/CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7548 Issued in MN

Practice address

150 St. Andrews Court
Suite 310
Mankato, MN 56001

Phone

(507) 388-5437

Fax

(507) 388-2108

NPI assigned

Jan 30, 2006

Last updated

Apr 16, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Interoperability endpoints

• Direct secure messaging: samanthaerickson@mklt.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mankato Clinic LTD

  • Family Medicine Physician
  • Mankato, MN
  • NPI 1629044029
  Medicare reassignment

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1184695074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ST. ANDREWS COURT",
            "address_2": "SUITE 310",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "56001",
            "telephone_number": "507-388-5437",
            "fax_number": "507-388-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ST. ANDREWS COURT",
            "address_2": "SUITE 310",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "56001",
            "telephone_number": "507-388-5437",
            "fax_number": "507-388-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "SAMANTHA",
        "middle_name": "K",
        "credential": "MA/CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "7548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Elizabeth Engstrom, CRNA
• Enlightened Minds Mental Health PLLC
• Lindsey Ann Envall, OTD, OTR/L
• Anne K Erickson, MS
• Kayle N Erickson, LICSW
• Jordyn Fay Erkel, PHARMD
• Taylor Marie Ernste, LGSW
• Luis Santiago Escobar Acevedo, PA-C
• Desiree Essler
• Kristi Etter

• Speech-Language Pathologist in Mankato, MN
• Providers in Mankato, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.