Individual provider Active NPI

Erika S. Russell, M.S., CCC-SLP, M.ED.

  • Speech-Language Pathologist
  • Irving, TX
National Provider Identifier
1891812756
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
114979 Issued in TX
Practice address
1231 Greenway Dr Ste 110
Irving, TX 75038-7530
Phone
(972) 871-1800
NPI assigned
Mar 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 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 114979 TX Primary

Addresses

Primary practice location

1231 Greenway Dr Ste 110
Irving, TX 75038-7530

Mailing address

2305 S Custer Rd Apt 3904
McKinney, TX 75072-6228
Phone (972) 940-1235

Other practice location 1

801 N 11th St
Saint Louis, MO 63101-1015
Phone (314) 231-3720

Other identifiers 1

IdentifierTypeStateIssuer
114979OtherTXLICENSE- SPEECH LANGUAGE PATHOLOGIST

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)
Not enrolled
Credentials
Master of Education, Master of Science

State licenses

LicenseStateTypeSpecialty
114979TXMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1891812756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 S CUSTER RD APT 3904",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750726228",
            "telephone_number": "972-940-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 GREENWAY DR STE 110",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750387530",
            "telephone_number": "972-871-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 N 11th St",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631011015",
            "country_code": "US",
            "telephone_number": "314-231-3720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ERIKA",
        "middle_name": "S.",
        "name_prefix": "Miss",
        "credential": "M.S., CCC-SLP, M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-24",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "114979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE- SPEECH LANGUAGE PATHOLOGIST",
            "identifier": "114979",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.