MRS. AMY NICOLE ERICKSON (NPI# 1285902304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285902304 |
| Entity Type | Individual |
| Full Name | MRS. AMY NICOLE ERICKSON |
| Other Name | MRS. AMY NICOLE ANGULO |
| Credential | M.S., CCC-SLP |
| Practice Address |
2765 Se Eagle Dr Port St Lucie FL 34984-8918 |
| Practice Telephone | 7723709741 |
| Mailing Telephone | 7723709741 |
| Enumeration Date | 2011-12-03 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SI2034 | FL | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | SA13873 | FL | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | SA 13873 | FL | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | SZ6877 | FL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194071365 | Amy Erickson | Speech-Language Pathologist | 975 Platte River Blvd Unit 80260, Brighton, CO 80601-4349 | 2012-07-25 |
| 1255664736 | Amy Marie Erickson | Massage Therapist | 16334 County Road 30, Maple Grove, MN 55311-1207 | 2009-09-15 |
| 1558409805 | Amy Elsner Erickson | Occupational Therapist | 801 6th St S # 7700, St Petersburg, FL 33701-4816 | 2007-02-01 |
| 1962498832 | Amy Schafer Erickson | Family Medicine | 10208 Cerny St, Suite 206, Raleigh, NC 27617-7884 | 2005-09-26 |
| 1871860932 | Amy Erickson | Registered Nurse | 195 Miles St, Athens, GA 30601-1820 | 2011-11-17 |
| 1528060423 | Amy H Erickson | Nurse Anesthetist, Certified Registered | 1114 Sunset Dr, Suite 4, Johnson City, TN 37604-2969 | 2005-08-11 |
| Street Address |
2765 SE EAGLE DR |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34984-8918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700426053 | Alyssa Raudebaugh-jackson | Behavior Technician | 247 Sw Port St. Lucie Blvd, Port St. Lucie, FL 34984 | 2020-01-14 |
| 1033680830 | Aaron Schamback, Dmd, Pa | Dentist | 155 Sw Port Saint Lucie Blvd, Suite #101, Port Saint Lucie, FL 34984 | 2018-12-06 |
| 1407343361 | St. Lucie Hope Gardens LLC | Assisted Living Facility | 337 Sw Grimaldo Teraace, Port Saint Lucie, FL 34984 | 2018-04-17 |
| 1205353091 | Rachelle Renae Tetreault | Acupuncturist | 451 S.e. Thanksgiiving Avenue, Port St. Lucie, FL 34984 | 2017-08-23 |
| 1598141913 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 710 Sw Port St Lucie Blvd, Port St Lucie, FL 34984 | 2015-08-07 |
| 1518201136 | Kerline Dimanche | Physical Therapy Assistant | 461 Se Lancaster Aveune, Port Saint Lucie, FL 34984 | 2012-11-20 |
| 1063776979 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 208 Sw Port St Lucie Blvd, Port St Lucie, FL 34984 | 2012-06-26 |
| 1851655849 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 1240 Us Highway 1, Suite 200, North Palm Beach, FL 34984 | 2012-06-25 |
| 1003179003 | Judith Wray | Pharmacist | 281 Sw Port St. Lucie Blvd, Port St. Lucie, FL 34984 | 2012-06-25 |
| 1285925446 | Cindy Leahy | Specialist | 2181 Sw Bayshore Blvd, Port St Lucie, FL 34984 | 2011-04-22 |
| Find all providers in zip 34984 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639738537 | Pamela E Smith Therapies, Inc. | Speech-Language Pathologist | 3235 Se River Vista Dr, Port St Lucie, FL 34952-5928 | 2019-06-13 |
| 1437641586 | June Ann Olsen | Speech-Language Pathologist | 7449 Bob O Link Way, Port St Lucie, FL 34986-3339 | 2018-06-05 |
| 1184155939 | James Patrick Mcgrath II | Speech-Language Pathologist | 1034 Sw Dubuque Ave, Port St Lucie, FL 34953-3242 | 2017-03-23 |
| 1770034654 | Speech Horizons, LLC | Speech-Language Pathologist | 2152 Se Watercrest St, Port St Lucie, FL 34984-4738 | 2016-10-17 |
| 1780134924 | Brian Hurley | Speech-Language Pathologist | 1502 Se Burning Ct, Port St Lucie, FL 34952-7548 | 2016-10-12 |
| 1124486949 | Therapy Connection of The Treasure Coast | Speech-Language Pathologist | 549 Nw Lake Whitney Pl Ste 104, Port St Lucie, FL 34986 | 2016-02-08 |
| 1477936433 | Jessica Fletcher | Speech-Language Pathologist | 544 Sw Indian Key Dr, Port St Lucie, FL 34986-2052 | 2015-07-08 |
| 1508248345 | Danielle Schoepski | Speech-Language Pathologist | 623 Sw Barbuda Bay, Port St Lucie, FL 34986-3422 | 2015-06-28 |
| 1235539974 | Laure Goss | Speech-Language Pathologist | 1331 Sw Doric Ct, Port St Lucie, FL 34953-6843 | 2014-08-29 |
| 1578825329 | Eva L Odonnell | Speech-Language Pathologist | 357 Sw Coconut Key Way, Port St Lucie, FL 34986-1907 | 2012-06-07 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34984 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.