Individual provider Active NPI

Erica Schultz, MS-CCC/SLP

  • Speech-Language Pathologist
  • Eau Claire, WI
National Provider Identifier
1255304366
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3658-154 Issued in WI
Practice address
2120 Heights Dr
Eau Claire, WI 54701-6142
Phone
(715) 832-1681
Fax
(715) 514-5210
NPI assigned
Feb 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3658-154 WI Primary

Addresses

Primary practice location

2120 Heights Dr
Eau Claire, WI 54701-6142

Mailing address

2120 Heights Dr
Eau Claire, WI 54701-6142
Phone (715) 832-1681

Other identifiers 4

IdentifierTypeStateIssuer
656T8PAOtherMNMN BCBS NUMBER
1255304366OtherNPI
HP59052OtherMNMN HEALTHPARTNERS NUMBER
7514730OtherMNMN AETNA NUMBER

Other names 1

  • Erica Paulsen Former name

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

LicenseStateTypeSpecialty
3658-154WIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255304366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 HEIGHTS DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016142",
            "telephone_number": "715-832-1681",
            "fax_number": "715-514-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 HEIGHTS DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016142",
            "telephone_number": "715-832-1681",
            "fax_number": "715-514-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "ERICA",
        "credential": "MS-CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "3658-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BCBS NUMBER",
            "identifier": "656T8PA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255304366",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN HEALTHPARTNERS NUMBER",
            "identifier": "HP59052",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN AETNA NUMBER",
            "identifier": "7514730",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "PAULSEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.