Individual provider Active NPI

Erica Evette Billups, M.S. CCC-SLP

  • Speech-Language Pathologist
  • West Memphis, AR
National Provider Identifier
1508939273
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1863 Issued in AR
Practice address
620 Thompson Ave
West Memphis, AR 72301-3257
Phone
(870) 702-4911
Fax
(870) 702-6386
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 1863 AR Primary

Addresses

Primary practice location

620 Thompson Ave
West Memphis, AR 72301-3257

Mailing address

5938 Stafford Dr
Southaven, MS 38671-6804
Phone (662) 536-0332

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230807001013 MS Practitioner - Qualified Speech Language Pathologist 6103287107 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1863ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Health Care Management LLC Speech-Language Pathologist CurrentSince Jul 1, 2023 Accepting new patients
Creative Health Care Management LLC Speech-Language Pathologist CurrentSince Jul 1, 2023 Accepting new patients
Goode Communications, Etc.,Inc Speech-Language Pathologist Past Accepting new patients

Locations

10 S 9th St
Ste 4
Noblesville, IN 46060

6600 Poplar Springs Dr
Meridian, MS 39305
Phone (601) 482-5561

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1508939273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5938 STAFFORD DR",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716804",
            "telephone_number": "662-536-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 THOMPSON AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013257",
            "telephone_number": "870-702-4911",
            "fax_number": "870-702-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLUPS",
        "first_name": "ERICA",
        "middle_name": "EVETTE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "1863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.