Individual provider Active NPI

Erin Moran Shields, MS CCC SLP

  • Speech-Language Pathologist
  • Okc, OK
National Provider Identifier
1356539860
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4166 Issued in OK
Practice address
2532 NW 44TH Street
Okc, OK 73112
Phone
(505) 730-9700
NPI assigned
Oct 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3812 NM
Speech-Language Pathologist 235Z00000X 4166 OK Primary

Addresses

Primary practice location

2532 NW 44TH Street
Okc, OK 73112

Mailing address

2532 NW 44TH Street
Okc, OK 73112
Phone (505) 730-9700

Other names 1

  • Ms. Erin Moran Professional 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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3812NMMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1356539860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 NW 44TH STREET",
            "city": "OKC",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "505-730-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 NW 44TH STREET",
            "city": "OKC",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "505-730-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN SHIELDS",
        "first_name": "ERIN",
        "name_prefix": "Mrs.",
        "credential": "MS CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "3812",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "4166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "MORAN",
            "prefix": "MS.",
            "credential": "MS CCC/SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Okc, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.