Active NPI
Kristi Driscoll
- Speech-Language Pathologist
- Mitchell, SD
National Provider Identifier
1154772002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SD-330 SLP
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SD-330 SLP | SD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera Queen of Peace | Current | Accepting new patients | |
| Avera Queen of Peace | Current | 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.
-
- Rural Acute Care Hospital
- Mitchell, SD
- NPI 1154324507
-
- Hospitalist Physician
- Mitchell, SD
- NPI 1205359031
-
- Critical Access Hospital
- Wessington Springs, SD
- NPI 1316942204
-
- Rural Health Clinic/Center
- Howard, SD
- NPI 1326043092
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.