Individual provider Active NPI

Erica Lauren Selbst, MS. CCC-SLP

  • Speech-Language Pathologist
  • Delray Beach, FL
National Provider Identifier
1518479393
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
15092 Issued in FL
Practice address
32 SE 2ND Ave Unit 501
Delray Beach, FL 33444-3627
Phone
(954) 257-2723
NPI assigned
Nov 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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 15092 FL Primary

Addresses

Primary practice location

32 SE 2ND Ave Unit 501
Delray Beach, FL 33444-3627

Mailing address

32 SE 2ND Ave Unit 501
Delray Beach, FL 33444-3627
Phone (954) 257-2723

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

State licenses

LicenseStateTypeSpecialty
15092FLMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1518479393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SE 2ND AVE UNIT 501",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334443627",
            "telephone_number": "954-257-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 SE 2ND AVE UNIT 501",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334443627",
            "telephone_number": "954-257-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELBST",
        "first_name": "ERICA",
        "middle_name": "LAUREN",
        "name_prefix": "Miss",
        "credential": "MS. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "15092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; 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.