Krystle Owen, MS CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

P8319 Issued in AR

Practice address

599 N Centennial Ave
West Fork, AR 72774-2711

Phone

(479) 871-9820

NPI assigned

Oct 13, 2010

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

Other identifiers 1

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 and National Provider Directory roles.

• Building Blocks Therapy, Inc

  • Speech-Language Pathologist
  • West Fork, AR
  • NPI 1013225424
  NPD (past)

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286928000000",
    "number": "1104136050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 PEMBRIDGE DR",
            "city": "CAVE SPRINGS",
            "state": "AR",
            "postal_code": "727189421",
            "telephone_number": "479-871-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 N CENTENNIAL AVE",
            "city": "WEST FORK",
            "state": "AR",
            "postal_code": "727742711",
            "telephone_number": "479-871-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "KRYSTLE",
        "credential": "MS CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "P8319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183594721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Elizabeth Myers, COTA
• NH Industries, Inc
• Emmalee Grace O'Dell
• Open Door Health and Community Services
• Open Door Health and Community Services
• Twila Owens, LCSW
• Pond Pediatric Therapy
• Laura Fawn Purcell, MPT
• Meredith Purifoy, MS CF-SLP
• Abagail Grace Reaves, OTA

• Speech-Language Pathologist in West Fork, AR
• Providers in West Fork, 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 Oct 13, 2010; 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.