Crystal Koran, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

08996 Issued in MD

Practice address

25480 Point Lookout Rd
Leonardtown, MD 20650-3801

Phone

(301) 769-6456

NPI assigned

Aug 15, 2019

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 TX

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bluebonnet Therapy Specialists PLLCGroup PAC ID 5294251435, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bluebonnet Therapy Specialists, PLLC

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1639988728
  Medicare reassignment Care Compare group NPD
• Kerri Lynn Register, M.S. CCC/SLP

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1083043574
  Medicare reassignment
• Eslp Clinic

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1629687264
  NPD (past)

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1033765904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22051 CEDAR POINT RD",
            "city": "PATUXENT RIVER",
            "state": "MD",
            "postal_code": "206701166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25480 POINT LOOKOUT RD",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503801",
            "telephone_number": "301-769-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORAN",
        "first_name": "CRYSTAL",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "08996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanjar Khodjaev, DMD
• Kidney Care Center Southern Maryland LLC
• Cynthia J Kilcoyne
• Mi Jin Kim
• Robert Konkol, M.D.
• Diana Lynne Kraft, LCPC
• Rakhi Krishnan
• Ernestine Lakner, PA-C
• Emily Lamoreau, LCPC, NCC
• Meaghan L Lansley, NP

• Speech-Language Pathologist in Leonardtown, MD
• Providers in Leonardtown, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.