Active NPI
Kristal Hill Inc
- Speech-Language Pathologist
- Greenwood, AR
National Provider Identifier
1013055151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP1796
- Legal business name
- KRISTAL HILL INC
- Practice address
- 170 Azalea Dr
Greenwood, AR 72936-4965 - Phone
- (479) 221-3050
- Fax
- (479) 996-5202
- NPI assigned
- Feb 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kristal Marie Hill, M.S. CCC-SLP
- Title
- President
- Phone
- (479) 996-5202
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP1796 | AR | Primary |
Addresses
Primary practice location
170 Azalea Dr
Greenwood, AR 72936-4965
Mailing address
170 Azalea Dr
Greenwood, AR 72936-4965
Phone (479) 221-3050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5X615 | Other | AR | BLUE CROSS BLUE SHIELD ID |
National Provider Directory
National Provider Directory- Tax ID family
- Kristal Hill Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Speech-Language Pathologist
- Greenwood, AR
- NPI 1003992272
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Greenwood, AR
- NPI 1962580365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013055151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 AZALEA DR",
"city": "GREENWOOD",
"state": "AR",
"postal_code": "729364965",
"telephone_number": "479-221-3050",
"fax_number": "479-996-5202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 AZALEA DR",
"city": "GREENWOOD",
"state": "AR",
"postal_code": "729364965",
"telephone_number": "479-221-3050",
"fax_number": "479-996-5202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRISTAL HILL INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "KRISTAL",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "479-996-5202",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.S. CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "SP1796",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD ID",
"identifier": "5X615",
"state": "AR"
}
],
"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.