Individual provider Active NPI

Lindsey Erickson, CCC-SLP

  • Speech-Language Pathologist
  • Bainbridge Is, WA
National Provider Identifier
1457179947
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL61514547 Issued in WA
Practice address
330 Madison Ave S
Bainbridge Is, WA 98110-2544
Phone
(206) 451-4308
NPI assigned
Oct 2, 2024
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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 SLP-6037 ID
Speech-Language Pathologist 235Z00000X LL61514547 WA Primary

Addresses

Primary practice location

330 Madison Ave S
Bainbridge Is, WA 98110-2544

Mailing address

498 Maple St
Idaho Falls, ID 83402-4133
Phone (303) 810-7001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251002003614 WA Practitioner - Qualified Speech Language Pathologist 9638675184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2041 NE Selsund CT
Poulsbo, WA 98370-7325

498 Maple St
Idaho Falls, ID 83402-4133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLP-6037IDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Aubin Aphasia Speech and Language Center LLC CurrentSince Jul 19, 2025 Accepting new patients
Powers Physical Therapy, PLLC PastSince Jul 19, 2025 Accepting new patients

Locations

330 Madison Ave S
Ste 106
Bainbridge Island, WA 98110
Phone (206) 451-4308

20700 Bond Rd NE
Bldg B
Poulsbo, WA 98370
Phone (206) 451-4308

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, 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": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1457179947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 MAPLE ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834024133",
            "telephone_number": "303-810-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MADISON AVE S",
            "city": "BAINBRIDGE IS",
            "state": "WA",
            "postal_code": "981102544",
            "telephone_number": "206-451-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "LINDSEY",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-6037",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL61514547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Is, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.