Active NPI
Chrystal L Buckner, CCC-SLP
- Speech-Language Pathologist
- Memphis, TN
National Provider Identifier
1043768948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 6320 N Quail Hollow Rd
Memphis, TN 38120-1420 - Phone
- (901) 761-0021
- NPI assigned
- Sep 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
6320 N Quail Hollow Rd
Memphis, TN 38120-1420
Mailing address
6320 N Quail Hollow Rd
Memphis, TN 38120-1420
Phone (901) 761-0021
Other names 1
- Chrystal Lynn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200401003622 | TN | Practitioner - Qualified Speech Language Pathologist | 4486083045 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab at Your Place, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Shelby County Board of Education | Past | Accepting new patients |
Locations
6320 N Quail Hollow Rd
Memphis, TN 38120
Phone (901) 244-7167
Organizations & group practices 2
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.
-
- Rehabilitation Practitioner
- Memphis, TN
- NPI 1194868158
Speech-Language Pathologist
-
- Local Education Agency (LEA)
- Memphis, TN
- NPI 1720496425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1043768948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6320 N QUAIL HOLLOW RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381201420",
"telephone_number": "901-761-0021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6320 N QUAIL HOLLOW RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381201420",
"telephone_number": "901-761-0021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKNER",
"first_name": "CHRYSTAL",
"middle_name": "L",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-20",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRYSTAL",
"last_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.