Erickson'S Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

328043554 Issued in WA

Legal business name

ERICKSON'S INC

Practice address

421 W Riverside Ave Ste 770
Spokane, WA 99201-0402

Phone

(509) 747-6148

Fax

(509) 638-6705

NPI assigned

Dec 4, 2007

Organization subpart

No

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

Authorized official

Name

Monica D EricksonNPI 1972160612

Title

President

Phone

(509) 747-6148

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• Ericksons Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monica D Erickson, BCO

  • Ocularist
  • Spokane, WA
  • NPI 1972160612
  NPD Authorized official

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1669654331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W RIVERSIDE AVE STE 770",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010402",
            "telephone_number": "509-747-6148",
            "fax_number": "509-638-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W RIVERSIDE AVE STE 770",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010402",
            "telephone_number": "509-747-6148",
            "fax_number": "509-638-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICKSON'S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-747-6148"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ocularist",
            "state": "WA",
            "license": "OS 00000010",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "328043554",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WA",
            "license": "328043554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003137000",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "566943",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9028838",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153267",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ericksons",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ericksons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica D Erickson, BCO
• Raymond Alfred Erickson, D.D.S.
• Steven Elliot Erickson I, M.ED. LMHC
• Trenya E Erickson, LMP
• Vincent Erickson, MD PHD
• Donald Merwin Ericson, M.D.
• Katherine Teresa Ericsson, OT
• Amanda Rose Erks
• Steven B Erminpour, MASSAGE THERAPIST
• Casie M Ernst

• Prosthetic/Orthotic Supplier in Spokane, WA
• Providers in Spokane, WA by specialty
• Prosthetic/Orthotic Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.