Individual provider Active NPI

Erin Bernett, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Hurst, TX
National Provider Identifier
1427239649
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
18230 Issued in TX
Practice address
6168 Bentridge Dr
Hurst, TX 76054-2615
Phone
(817) 479-7019
Fax
(817) 479-7019
NPI assigned
Nov 15, 2007
Last updated
Jul 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 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 18230 TX Primary

Addresses

Primary practice location

6168 Bentridge Dr
Hurst, TX 76054-2615

Mailing address

6168 Bentridge Dr
Hurst, TX 76054-2615
Phone (817) 479-7019

Other names 1

  • Erin Penner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220823000365 TX Practitioner - Qualified Speech Language Pathologist 5395128433 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
18230TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Monkey Mouths, PLLC Speech-Language Pathologist CurrentSince Jul 11, 2022 Accepting new patients
Monkey Mouths, LLC Speech-Language Pathologist Current Accepting new patients
Monkey Ears, LLC CurrentSince Jul 10, 2022 Accepting new patients

Locations

401 Harwood Rd
Ste A
Bedford, TX 76021
Phone (817) 656-7240

6168 Bentridge Dr
Hurst, TX 76054
Phone 81747970191016

Organizations & group practices 3

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": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1427239649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6168 BENTRIDGE DR",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542615",
            "telephone_number": "817-479-7019",
            "fax_number": "817-479-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6168 BENTRIDGE DR",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542615",
            "telephone_number": "817-479-7019",
            "fax_number": "817-479-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNETT",
        "first_name": "ERIN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "18230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "PENNER",
            "credential": "MS., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.