Individual provider Active NPI

Crystal A Hinrichs, SLP

  • Speech-Language Pathologist
  • Kearney, NE
National Provider Identifier
1154558070
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1328 Issued in NE
Practice address
615 W 39TH St
Suite a
Kearney, NE 68845-8045
Phone
(308) 698-2820
Fax
(308) 698-2822
NPI assigned
Jun 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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 1328 NE Primary

Addresses

Primary practice location

615 W 39TH St
Suite a
Kearney, NE 68845-8045

Mailing address

911 13TH Ave
Kearney, NE 68845-6655
Phone (308) 440-1237

Other identifiers 1

IdentifierTypeStateIssuer
1328OtherNESTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1328NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Physical Therapy & Sports Center Speech-Language Pathologist Past Accepting new patients

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": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1154558070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 13TH AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688456655",
            "telephone_number": "308-440-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W 39TH ST",
            "address_2": "SUITE A",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688458045",
            "telephone_number": "308-698-2820",
            "fax_number": "308-698-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINRICHS",
        "first_name": "CRYSTAL",
        "middle_name": "A",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "1328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1328",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.