NPIMap

Organization Active NPI

Kristal Hill Inc

  • Speech-Language Pathologist
  • Greenwood, AR
National Provider Identifier
1003992272
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1796 Issued in AR
Legal business name
KRISTAL HILL INC
Practice address
1405 West Center
Suite 204
Greenwood, AR 72936-3401
Phone
(479) 996-0663
Fax
(479) 996-2110
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Kristal Mourie Hill, MS CCC SLPNPI 1962580365
Title
Owner Speech Language Pathologist
Phone
(479) 996-0663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 1796 AR Primary

Addresses

Primary practice location

1405 West Center
Suite 204
Greenwood, AR 72936-3401

Mailing address

170 Azalea Drive
Greenwood, AR 72936-3401
Phone (479) 996-5202

National Provider Directory

National Provider Directory
Tax ID family
Kristal Hill Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1405 W Center St
Ste 204
Greenwood, AR 72936
Phone (479) 252-8424

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003992272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 AZALEA DRIVE",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729363401",
            "telephone_number": "479-996-5202",
            "fax_number": "479-996-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 WEST CENTER",
            "address_2": "SUITE 204",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729363401",
            "telephone_number": "479-996-0663",
            "fax_number": "479-996-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTAL HILL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "KRISTAL",
        "authorized_official_middle_name": "MOURIE",
        "authorized_official_title_or_position": "OWNER SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "479-996-0663",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "1796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.