Active NPI
Marjorie Anne Erl, M.S., CCC-SLP
- Speech-Language Pathologist
- Union, KY
National Provider Identifier
1255540886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- KY-0136
- Practice address
- 10134 Old Union Rd
Union, KY 41091-8508 - Phone
- (859) 301-7232
- Fax
- (859) 301-7240
- NPI assigned
- May 21, 2007
- Last updated
- Jul 8, 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 | KY-0136 | KY | Primary |
Addresses
Primary practice location
10134 Old Union Rd
Union, KY 41091-8508
Mailing address
969 Augusta CT
Union, KY 41091-7721
Phone (859) 657-6881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01013671 | Medicaid | KY |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-0136 | KY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255540886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "969 AUGUSTA CT",
"city": "UNION",
"state": "KY",
"postal_code": "410917721",
"telephone_number": "859-657-6881",
"fax_number": "859-657-6881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10134 OLD UNION RD",
"city": "UNION",
"state": "KY",
"postal_code": "410918508",
"telephone_number": "859-301-7232",
"fax_number": "859-301-7240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERL",
"first_name": "MARJORIE",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "KY-0136",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01013671",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Union, KY
- DC Management and Consulting LLC (Pure Health Chiropractic & Wellness Center)
- Sandra Derringer, DMD
- Marsha A Eifert-Mangine, PT
- Fannie G Endres, R.N.
- Mary Erickson, MS, CCC-SLP
- Justin M Fink
- Robert Mark Fitz, MD
- Florence Smiles Dentistry, PLLC (Florence Smiles Dentistry)
- Clifford Fryar, PHARM D
- Corey Gallus, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.