Kristin Elizabeth Shults, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

205 Wolf St
Pearcy, AR 71964-9449

Phone

(501) 767-8444

Fax

(501) 760-6550

NPI assigned

Jan 13, 2022

Last updated

Jan 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1043961808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WOLF ST",
            "city": "PEARCY",
            "state": "AR",
            "postal_code": "719649449",
            "telephone_number": "501-767-8444",
            "fax_number": "501-760-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WOLF ST",
            "city": "PEARCY",
            "state": "AR",
            "postal_code": "719649449",
            "telephone_number": "501-767-8444",
            "fax_number": "501-760-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTS",
        "first_name": "KRISTIN",
        "middle_name": "ELIZABETH",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Ann Murch, CCC/SLP
• Jerry Dallas Nichols, D.D.S.
• Restore Healing Center LLC
• Jessica Roper, APRN
• Angy Rose, PT
• Stan Ware, DDS PA
• Ronda Swayze, SLP
• Carissa Marie Trantina, SLP
• Mary Elizabeth Vowell, CCC-SLP
• Rachael Warren, LMT

• Speech-Language Pathologist in Pearcy, AR
• Providers in Pearcy, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.