Individual provider Active NPI

Erica Yolanda Osborne, MA/CCC-SLP

  • Speech-Language Pathologist
  • Huntersville, NC
National Provider Identifier
1356788012
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6343 Issued in NC
Practice address
13016 Eastfield Rd
Ste 200-336
Huntersville, NC 28078-6622
Phone
(704) 274-9062
Fax
(866) 268-3797
NPI assigned
Jun 4, 2013
Last updated
Jun 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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 6343 NC Primary

Addresses

Primary practice location

13016 Eastfield Rd
Ste 200-336
Huntersville, NC 28078-6622

Mailing address

13016 Eastfield Rd
Ste 200-336
Huntersville, NC 28078-6622
Phone (704) 274-9062

Other identifiers 1

IdentifierTypeStateIssuer
7412127MedicaidNC

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 Arts

State licenses

LicenseStateTypeSpecialty
6343NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Builders of the Carolinas, PLLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1356788012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13016 EASTFIELD RD",
            "address_2": "STE 200-336",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786622",
            "telephone_number": "704-274-9062",
            "fax_number": "866-268-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13016 EASTFIELD RD",
            "address_2": "STE 200-336",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786622",
            "telephone_number": "704-274-9062",
            "fax_number": "866-268-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "ERICA",
        "middle_name": "YOLANDA",
        "name_prefix": "Miss",
        "credential": "MA/CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412127",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.