Crystle Nicole Alonzo, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP6783 Issued in AZ

Practice address

3036 N Boldt Dr
Flagstaff, AZ 86001-0960

Phone

(928) 773-0895

Fax

(928) 773-0896

NPI assigned

Jul 27, 2010

Last updated

Sep 27, 2012By 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

Other names 1

• Crystle Nicole Alavez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northern Arizona Speech-Language Service Providers, PLLC

  dba Northern Arizona Speech/Language Service Providers

  • Home Health Agency
  • Flagstaff, AZ
  • NPI 1851477228
  NPD (past)

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1063726545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1096 AVENIDA SEVILLE",
            "city": "RIO RICO",
            "state": "AZ",
            "postal_code": "856481664",
            "telephone_number": "520-860-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3036 N BOLDT DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860010960",
            "telephone_number": "928-773-0895",
            "fax_number": "928-773-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONZO",
        "first_name": "CRYSTLE",
        "middle_name": "NICOLE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP6783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTLE",
            "last_name": "ALAVEZ",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alliance Healthcare Services Inc
• Alliance Medical Laboratory, LLC
• Allied Medical Supply Inc (Rotech)
• Linda Allsop, CRNA
• Hazem Alnamous
• Alpine Resource, Inc.
• Gretchen Alsip Vollbrecht, ARNP
• Altacare, LLC (Flagstaff Urgent Care)
• Altacare, LLC (Urgent Care Northern Arizona Healthcare)
• Sarah Mancini Altenberg, D.O.

• Speech-Language Pathologist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.