Individual provider Active NPI

Erica Needham, MA, CCC-SLP

  • Speech-Language Pathologist
  • North Saint Paul, MN
National Provider Identifier
1801333638
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9812 Issued in MN
Practice address
2344 Helen St N
North Saint Paul, MN 55109-2942
Phone
(651) 773-5998
NPI assigned
Jan 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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 9812 MN Primary

Addresses

Primary practice location

2344 Helen St N
North Saint Paul, MN 55109-2942

Mailing address

2344 Helen St N
North Saint Paul, MN 55109-2942
Phone (651) 773-5988

Other practice location 1

434 Hayward Ave N
Saint Paul, MN 55128-5379
Phone (651) 739-2300

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
9812MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Speech, Language, and Learning, Inc. PastSince Apr 5, 2017 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1801333638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 HELEN ST N",
            "city": "NORTH SAINT PAUL",
            "state": "MN",
            "postal_code": "551092942",
            "telephone_number": "651-773-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 HELEN ST N",
            "city": "NORTH SAINT PAUL",
            "state": "MN",
            "postal_code": "551092942",
            "telephone_number": "651-773-5998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "434 Hayward Ave N",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551285379",
            "country_code": "US",
            "telephone_number": "651-739-2300",
            "fax_number": "651-739-2302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEEDHAM",
        "first_name": "ERICA",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.