Autum L Erickson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

140 Elton Hills LN NW Ste 100
Rochester, MN 55901-3553

Phone

(507) 722-1508

Fax

(507) 208-7735

NPI assigned

Nov 2, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Owl Therapy Services LLC

  • Speech-Language Pathologist
  • Mantorville, MN
  • NPI 1811451701
  Medicare reassignment NPD

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1619684289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SUNFISH PL NE UNIT G",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559062665",
            "telephone_number": "507-316-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ELTON HILLS LN NW STE 100",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013553",
            "telephone_number": "507-722-1508",
            "fax_number": "507-208-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "AUTUM",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "autum@owltherapyservices.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "140 Elton Hills Ln NW Ste 100",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559013553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark H Ereth, M.D.
• Alejo Erice, M.D.
• Joanne R Ericksen, CNS
• Kirstin M Erickson Wilson, M.D.
• Asmeeta Erickson, APRN
• Bradley J Erickson, M.D.
• Dana Erickson, M.D.
• Darcy R. H. Erickson, OT
• Hanna Erickson, MD
• Julie Erickson

• Speech-Language Pathologist in Rochester, MN
• Providers in Rochester, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.