Individual provider Active NPI

Kristi Driscoll

  • Speech-Language Pathologist
  • Mitchell, SD
National Provider Identifier
1154772002
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SD-330 SLP Issued in SD
Practice address
1023 Palmer PL
Mitchell, SD 57301-3246
Phone
(605) 660-6110
NPI assigned
Jun 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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 SD-330 SLP SD Primary

Addresses

Primary practice location

1023 Palmer PL
Mitchell, SD 57301-3246

Mailing address

1023 Palmer PL
Mitchell, SD 57301-3246
Phone (605) 660-6110

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
SD-330 SLPSDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Queen of Peace CurrentSince Feb 17, 2025 Accepting new patients
Avera Queen of Peace CurrentSince Feb 17, 2025 Accepting new patients
Avera Queen of Peace Current Accepting new patients
Avera Queen of Peace Past Accepting new patients

Locations

1850 N Main St
Mitchell, SD 57301

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

2100 N Kimball St
Mitchell, SD 57301
Phone (605) 996-8712

Organizations & group practices 4

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": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1154772002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 PALMER PL",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573013246",
            "telephone_number": "605-660-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 PALMER PL",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573013246",
            "telephone_number": "605-660-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISCOLL",
        "first_name": "KRISTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SD",
            "license": "SD-330 SLP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.