Active NPI
Erin Anderson
- Developmental Therapist
- Ormond Beach, FL
National Provider Identifier
1760028799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 500 Shadow Lakes Blvd Apt 10
Ormond Beach, FL 32174-5027 - Phone
- (352) 332-8588
- NPI assigned
- Nov 25, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
500 Shadow Lakes Blvd Apt 10
Ormond Beach, FL 32174-5027
Mailing address
500 Shadow Lakes Blvd Apt 10
Ormond Beach, FL 32174-5027
Phone (386) 344-3808
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1760028799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 SHADOW LAKES BLVD APT 10",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745027",
"telephone_number": "386-344-3808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SHADOW LAKES BLVD APT 10",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745027",
"telephone_number": "352-332-8588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "ERIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-25",
"last_updated": "2023-09-28",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ormond Beach, FL
- American Diabetic Supply, Inc.
- American Ortho-Tech Laboratories Inc.
- Amol K Gupta MD Corporation
- Anchor Health and Wellness LLC
- And Then There Is You for North Florida PLLC
- Hannah Coleman Anderson, DO
- Amy Elizabeth Andrews, D.M.D., M.D.S.
- Arjun D Aneja, M.D.
- Anemone Emergency Physicians, LLC
- Anesthesia Practice Management LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.