Active NPI
Erika S. Russell, M.S., CCC-SLP, M.ED.
- Speech-Language Pathologist
- Irving, TX
National Provider Identifier
1891812756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 114979
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114979 | Other | TX | LICENSE- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 114979 | TX | MD | Occupational 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.