Todd D Ericksen, MA, CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

5013 Issued in MN

Practice address

25147 County Road 17
Winona, MN 55987-5497

Phone

(507) 454-1247

Fax

(507) 452-3422

NPI assigned

Jun 27, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ericksen Hearing Services, LLC

  • Audiologist
  • Winona, MN
  • NPI 1932518040
  Authorized official Same address or phone

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982600706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25147 COUNTY ROAD 17",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559875497",
            "telephone_number": "507-454-1247",
            "fax_number": "507-452-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25147 COUNTY ROAD 17",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559875497",
            "telephone_number": "507-454-1247",
            "fax_number": "507-452-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSEN",
        "first_name": "TODD",
        "middle_name": "D",
        "credential": "MA, CCC-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MN",
            "license": "5013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "181195",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "70G55ER",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Michelle Ellenburg, LICSW
• Linda Lou Ellinghuysen, R.N.
• Emily Elmquist, MSW CLINICAL INTERN
• Payton Engbrecht
• Ericksen Hearing Services, LLC
• Allen Erickson
• Emily Katheryne Erickson
• Danya M Espinosa
• Lillian Evanoff
• Julie Evenson, LADC

• Audiologist-Hearing Aid Fitter in Winona, MN
• Providers in Winona, MN by specialty
• Audiologist-Hearing Aid Fitter in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.