Individual provider Active NPI

Ericka Amy Lipman, MA., CCC-SLP

  • Speech-Language Pathologist
  • Commerce Township, MI
National Provider Identifier
1891415725
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101006070 Issued in MI
Practice address
2045 E West Maple Rd
Commerce Township, MI 48390-3801
Phone
(248) 926-0909
NPI assigned
Aug 31, 2022
Last updated
Aug 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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 7101006070 MI Primary

Addresses

Primary practice location

2045 E West Maple Rd
Commerce Township, MI 48390-3801

Mailing address

3165 Kassab LN
Commerce Township, MI 48382-4613
Phone (248) 390-2475

Other names 1

  • Ericka Amy Hootner Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ericka.lipman@detroitchildren.org Direct

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
7101006070MIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1891415725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 KASSAB LN",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483824613",
            "telephone_number": "248-390-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 E WEST MAPLE RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483903801",
            "telephone_number": "248-926-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPMAN",
        "first_name": "ERICKA",
        "middle_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "MA., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101006070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ericka.lipman@detroitchildren.org",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "messages",
            "address_1": "2045 E West Maple Rd",
            "city": "Commerce Township",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483903801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ERICKA",
            "last_name": "HOOTNER",
            "middle_name": "AMY",
            "credential": "MA., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Commerce Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.