Active NPI
Jennifer Megann Erickson
- Speech-Language Pathologist
- Cambridge, IL
National Provider Identifier
1619523396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242.005388
- Practice address
- 312 S West St
Cambridge, IL 61238-1430 - Phone
- (309) 937-2028
- NPI assigned
- Aug 17, 2019
- Last updated
- Aug 17, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242.005388 | IL | Primary |
Addresses
Primary practice location
312 S West St
Cambridge, IL 61238-1430
Mailing address
1318 W 6TH St
Kewanee, IL 61443-1261
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
| License | State | Type | Specialty |
|---|---|---|---|
| 242.005388 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566000000000",
"number": "1619523396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1318 W 6TH ST",
"city": "KEWANEE",
"state": "IL",
"postal_code": "614431261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 S WEST ST",
"city": "CAMBRIDGE",
"state": "IL",
"postal_code": "612381430",
"telephone_number": "309-937-2028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "JENNIFER",
"middle_name": "MEGANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-17",
"last_updated": "2019-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.005388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, IL
- Emalee Paige Brink
- Cambridge Cusd 227
- Cambridge Fire Protection District
- John Leonard Guild, DC
- Hammond Henry Dist Hospital (Hammond-Henry Hospital Medical Group)
- Maiah Sue Hartman, DC
- Illini Clinic Pharmacy Inc (RidgeWood Pharmacy)
- Iowa Physicians Clinic Medical Foundation (Trinity Family Med Assoc Cambridge)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.