Individual provider Active NPI

Erica Lenn Seagrave, CNIM

  • Electroneurodiagnostic Specialist/Technologist
  • Plano, TX
National Provider Identifier
1265687529
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Practice address
2500 Dallas Pkwy Ste 500
Plano, TX 75093-4805
Phone
(317) 503-1350
NPI assigned
Nov 28, 2008
Reactivated
Apr 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EEG Technician 2472E0500X
Electroneurodiagnostic Specialist/Technologist 246ZE0600X Primary

Addresses

Primary practice location

2500 Dallas Pkwy Ste 500
Plano, TX 75093-4805

Mailing address

17025 E la Montana Dr Unit 132
Fountain Hills, AZ 85268-8583
Phone (317) 503-1350

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spine-Tek Neuromonitoring, Inc Electroneurodiagnostic Current Accepting new patients
Mindsync Monitoring, PLLC Current Accepting new patients

Locations

2500 Dallas Pkwy
Ste 500
Plano, TX 75093
Phone (469) 430-4019

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1227830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1265687529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17025 E LA MONTANA DR UNIT 132",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852688583",
            "telephone_number": "317-503-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 DALLAS PKWY STE 500",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934805",
            "telephone_number": "317-503-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAGRAVE",
        "first_name": "ERICA",
        "middle_name": "LENN",
        "name_prefix": "Mrs.",
        "credential": "CNIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-28",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "deactivation_date": "2018-09-26",
        "reactivation_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2472E0500X",
            "taxonomy_group": "",
            "desc": "Technician, Other, EEG",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.