Ericka A Shuptar, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

4572 S Hagadorn Rd Ste 2H
East Lansing, MI 48823-5385

Phone

(517) 220-4974

Fax

(517) 220-4974

NPI assigned

Sep 11, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Shuptar Speech Therapy, LLC

  • Speech-Language Pathologist
  • East Lansing, MI
  • NPI 1346004298
  Medicare reassignment NPD Authorized official
• Kaufman Children'S Center

  • Behavior Analyst
  • West Bloomfield, MI
  • NPI 1366877318
  NPD (past)
• Kaufman Childrens Center for Speech Language Sensory Motor Soc Connect

  • Speech-Language Pathologist
  • West Bloomfield, MI
  • NPI 1801011812
  NPD (past)

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1982937769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MURPHY CIR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488234706",
            "telephone_number": "248-504-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4572 S HAGADORN RD STE 2H",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235385",
            "telephone_number": "517-220-4974",
            "fax_number": "517-220-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUPTAR",
        "first_name": "ERICKA",
        "middle_name": "A",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Shneider, M.D.
• Ginger Marie Shrader, PMHNP
• Jolene Elyse Shrewsberry-Gardner
• Donna M Shull, PA-C
• Shuptar Speech Therapy, LLC
• Jonathan David Shy, LLP
• Lindelwe Nkazimulo Sibanda
• Antonio Siciliano, LMSW
• Christos Sidiropoulos, M.D.
• Yakov M Sigal, M.D.

• Speech-Language Pathologist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.

Verify at the official NPI Registry.