Individual provider Active NPI

Tracy Ann Lambert Erwin, MSP CCC-SLP

  • Speech-Language Pathologist
  • Marion, SC
National Provider Identifier
1861826877
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3480 Issued in SC
Practice address
208 English Park Rd
Marion, SC 29571-1925
Phone
(843) 423-6057
NPI assigned
Aug 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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 3480 SC Primary

Addresses

Primary practice location

208 English Park Rd
Marion, SC 29571-1925

Mailing address

208 English Park Rd
Marion, SC 29571-1925

Other names 1

  • Tracy Ann Lambert Former name

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

State licenses

LicenseStateTypeSpecialty
3480SCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1861826877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 ENGLISH PARK RD",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295711925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 ENGLISH PARK RD",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295711925",
            "telephone_number": "843-423-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERT ERWIN",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "credential": "MSP CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "LAMBERT",
            "middle_name": "ANN",
            "credential": "MSP CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marion, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.