Active NPI
Erika A McKay, CCC-SLP
- Speech-Language Pathologist
- Providence, RI
National Provider Identifier
1750058863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 01782
- Practice address
- 433 Broadway
Providence, RI 02909-1624 - Phone
- (401) 529-6944
- NPI assigned
- Aug 26, 2021
- Last updated
- Sep 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 78201 | MA | |
| Speech-Language Pathologist | 235Z00000X | 01782 | RI | Primary |
Addresses
Primary practice location
433 Broadway
Providence, RI 02909-1624
Mailing address
31 Cedar Pond Dr Apt 9
Warwick, RI 02886-0862
Phone (720) 470-0720
Other practice location 1
480 Reservoir Ave
Cranston, RI 02910-1729
Phone (401) 270-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210909001858 | MA | Practitioner - Qualified Speech Language Pathologist | 6901202332 | |
| I20240520001875 | RI | Practitioner - Qualified Speech Language Pathologist | 6901202332 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78201 | MA | MD | Speech-Language Pathologist |
| 01782 | RI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Past | Accepting new patients |
Interoperability endpoints
- erika.guynn.npi1750058863.reliant@direct.optumcare.masshiway.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Worcester, MA
- NPI 1295827962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1750058863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 CEDAR POND DR APT 9",
"city": "WARWICK",
"state": "RI",
"postal_code": "028860862",
"telephone_number": "720-470-0720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 BROADWAY",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029091624",
"telephone_number": "401-529-6944"
}
],
"practiceLocations": [
{
"address_1": "480 Reservoir Ave",
"address_purpose": "LOCATION",
"city": "Cranston",
"state": "RI",
"postal_code": "029101729",
"country_code": "US",
"telephone_number": "401-270-2500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKAY",
"first_name": "ERIKA",
"middle_name": "A",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-26",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "78201",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "RI",
"license": "01782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.