Active NPI
Erica Lee Egnew, CCC-SLP
- Speech-Language Pathologist
- Gilbert, AZ
National Provider Identifier
1982805297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP6507
- Practice address
- 690 E Warner Rd
Gilbert, AZ 85296-3054 - Phone
- (602) 695-5688
- NPI assigned
- May 31, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6507 | AZ | |
| Speech-Language Pathologist | 235Z00000X | SLPL5016 | AZ | |
| Speech-Language Pathologist | 235Z00000X | SLP6507 | AZ | Primary |
Addresses
Primary practice location
690 E Warner Rd
Gilbert, AZ 85296-3054
Mailing address
4549 S Merriman Way
Gilbert, AZ 85297-0892
Phone (602) 695-5688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6507 | AZ | MD | Speech-Language Pathologist |
| SLPL5016 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Therapy Solutions, LLC | Current | Accepting new patients | |
| Mentis Reo, LLC. | Current | Accepting new patients |
Locations
1783 E Queen Creek Rd
Ste 1
Chandler, AZ 85286
Phone (480) 820-6366
690 E Warner Rd
Ste 105
Gilbert, AZ 85296
Phone (480) 820-6366
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmental Disabilities Clinic/Center
- Gilbert, AZ
- NPI 1609541283
-
- Hearing and Speech Clinic/Center
- Mesa, AZ
- NPI 1972659399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1982805297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4549 S MERRIMAN WAY",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852970892",
"telephone_number": "602-695-5688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 E WARNER RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852963054",
"telephone_number": "602-695-5688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGNEW",
"first_name": "ERICA",
"middle_name": "LEE",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "6507",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLPL5016",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP6507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.