Active NPI
Erin Burris Gaumer
- Speech-Language Pathologist
- Waldorf, MD
National Provider Identifier
1831626308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 07457
- Practice address
- 4140 Old Washington Rd
Waldorf, MD 20602-3221 - Phone
- (301) 645-2813
- NPI assigned
- May 16, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 07457 | MD | Primary |
Addresses
Primary practice location
4140 Old Washington Rd
Waldorf, MD 20602-3221
Mailing address
4140 Old Washington Rd
Waldorf, MD 20602-3221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235Z00000X | Medicaid | MD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494892800000",
"number": "1831626308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 OLD WASHINGTON RD",
"city": "WALDORF",
"state": "MD",
"postal_code": "206023221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4140 OLD WASHINGTON RD",
"city": "WALDORF",
"state": "MD",
"postal_code": "206023221",
"telephone_number": "301-645-2813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUMER",
"first_name": "ERIN",
"middle_name": "BURRIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-16",
"last_updated": "2017-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "07457",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "235Z00000X",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.