Crystal Watts LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

CRYSTAL WATTS LLC

Practice address

717 Neely Rd
Brevard, NC 28712-3958

Phone

(267) 401-0733

NPI assigned

Dec 11, 2024

Organization subpart

No

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

Authorized official

Name

Crystal Anne Watts, MS, CCC-SLPNPI 1700547668

Title

Owner/SLP

Phone

(267) 401-0733

Specialties & licenses 1

Addresses

Other names 1

• Crystal Watts LLC Doing business as

Practitioners 1

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

• Crystal Anne Watts, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Brevard, NC
  • NPI 1700547668
  NPD Authorized official

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1033926381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 NEELY RD",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123958",
            "telephone_number": "267-401-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 NEELY RD",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123958",
            "telephone_number": "267-401-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL WATTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "267-401-0733",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Watts LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Brevard, NC
• Providers in Brevard, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.