Organization Active NPI

Erika Larson Speech Therapy

Doing business as Bloom Speech Therapy Services

  • Speech-Language Pathologist
  • Escanaba, MI
National Provider Identifier
1891474458
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ERIKA LARSON SPEECH THERAPY
Doing business as
Bloom Speech Therapy Services
Practice address
2510 1St Ave N Stop 2
Escanaba, MI 49829-1385
Phone
(906) 399-7402
Fax
(833) 895-1411
NPI assigned
Jul 12, 2023
Last updated
Jun 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Erika Ann Larson, MS CCC-SLLPNPI 1659061885
Title
Speech Language Pathologist
Phone
(906) 399-7402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

2510 1St Ave N Stop 2
Escanaba, MI 49829-1385

Mailing address

909 S 30TH St
Escanaba, MI 49829-1194
Phone (906) 399-7402

Other names 1

  • Bloom Speech Therapy Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1891474458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 S 30TH ST",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291194",
            "telephone_number": "906-399-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 1ST AVE N STOP 2",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291385",
            "telephone_number": "906-399-7402",
            "fax_number": "833-895-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIKA LARSON SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "906-399-7402",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC-SLLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloom Speech Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bloom Speech Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Escanaba, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.