Individual provider Active NPI

Erica Graham, SLP

  • Speech-Language Pathologist
  • Monroe, LA
National Provider Identifier
1710141296
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5920 Issued in LA
Practice address
803 Stubbs Ave Ste D
Monroe, LA 71201-5581
Phone
(318) 388-8414
Fax
(318) 388-8558
NPI assigned
Jul 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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 5920 LA Primary

Addresses

Primary practice location

803 Stubbs Ave Ste D
Monroe, LA 71201-5581

Mailing address

112 Fair Ave
Winnsboro, LA 71295-2116
Phone (318) 460-0260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230328000290 LA Practitioner - Qualified Speech Language Pathologist 7113391434 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Home and Health Care, LLC CurrentSince Aug 13, 2023 Accepting new patients
Little Occupational Therapy Service LLC CurrentSince Mar 15, 2023 Accepting new patients

Locations

112 Fair Ave
Winnsboro, LA 71295
Phone (318) 460-0260

Organizations & group practices 2

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": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1710141296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 FAIR AVE",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712952116",
            "telephone_number": "318-460-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 STUBBS AVE STE D",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015581",
            "telephone_number": "318-388-8414",
            "fax_number": "318-388-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "ERICA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "5920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.