Individual provider Active NPI

Crista Noel Gregoire

  • Speech-Language Pathologist
  • Addison, TX
National Provider Identifier
1104510221
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
119706 Issued in TX
Practice address
4530 Beltway Dr
Addison, TX 75001-3707
Phone
(818) 383-6690
NPI assigned
Jun 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 119706 TX Primary

Addresses

Primary practice location

4530 Beltway Dr
Addison, TX 75001-3707

Mailing address

4647 Cole Ave Apt 811
Dallas, TX 75205-5565
Phone (818) 383-6690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501001168 TX Practitioner - Qualified Speech Language Pathologist 7315387891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bliss Speech and Hearing Services, IncGroup PAC ID 3971949520, 6 clinicians

Practice addresses (Care Compare)

12700 Hillcrest Rd
Suite 207
Dallas, TX 75230-2068
Phone (972) 387-2824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
119706TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bliss Speech and Hearing Services, Inc. Speech-Language Pathologist CurrentSince Mar 25, 2024 Accepting new patients

Locations

12700 Hillcrest Rd
Ste 207
Dallas, TX 75230
Phone (972) 387-2824

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1104510221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4647 COLE AVE APT 811",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752055565",
            "telephone_number": "818-383-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 BELTWAY DR",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013707",
            "telephone_number": "818-383-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGOIRE",
        "first_name": "CRISTA",
        "middle_name": "NOEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "119706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.