Individual provider Active NPI

Erin Louise Dsouza

  • Speech-Language Pathologist
  • Concord, NC
National Provider Identifier
1548523863
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30001491 Issued in NC
Practice address
1467 Olive Hill Ave NW
Concord, NC 28027-3606
Phone
(716) 860-4155
NPI assigned
Jun 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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 30001491 NC Primary

Addresses

Primary practice location

1467 Olive Hill Ave NW
Concord, NC 28027-3606

Mailing address

1467 Olive Hill Ave NW
Concord, NC 28027-3606
Phone (716) 860-4155

Other practice location 1

4421 Stuart Andrew Blvd
Charlotte, NC 28217-1589
Phone (980) 343-6960

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
022768NYMDOccupational Therapist
30001491NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Speech Therapy Speech-Language Pathologist CurrentSince May 19, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1548523863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 OLIVE HILL AVE NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280273606",
            "telephone_number": "716-860-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 OLIVE HILL AVE NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280273606",
            "telephone_number": "716-860-4155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4421 Stuart Andrew Blvd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282171589",
            "country_code": "US",
            "telephone_number": "980-343-6960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DSOUZA",
        "first_name": "ERIN",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30001491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.