Krystal Osborn, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202007947 Issued in VA

Practice address

250 Pantops Mountain Rd
Rehabilitation Department
Charlottesville, VA 22911-8686

Phone

(434) 972-3100

NPI assigned

Aug 10, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1114303419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 SWAN LAKE DR",
            "address_2": "203",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229027265",
            "telephone_number": "740-856-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PANTOPS MOUNTAIN RD",
            "address_2": "REHABILITATION DEPARTMENT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118686",
            "telephone_number": "434-972-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "KRYSTAL",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202007947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A. Ornan, M.D.
• Christina Grace Orozco, ATC, EMT
• Christina Funari Ortiz, M.D., M.P.H.
• Edward Andrew Ortiz, M.D.
• Nicolas Martin Ortiz, M.D.
• Matthew Farley Osborne, MD
• Robert Byron Osborne, MD
• Patricia Oscaris, NP
• Akua Osei
• Meoshia Osinloye, APRN, FNP-BC

• Speech-Language Pathologist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.