Krystal Cagle

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

104088 Issued in TX

Practice address

690 E Lamar Blvd
Arlington, TX 76011-3882

Phone

(682) 867-0800

NPI assigned

Apr 2, 2007

Reactivated

May 9, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1245351022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 E LAMAR BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760113882",
            "telephone_number": "682-867-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 E LAMAR BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760113882",
            "telephone_number": "682-867-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4709 Ridgeline Dr",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760171110",
            "country_code": "US",
            "telephone_number": "817-874-8511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAGLE",
        "first_name": "KRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "deactivation_date": "2022-03-22",
        "reactivation_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "33189",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Raymond Cabrera
• David Isaac Caceres, OD
• Alexandria Cade
• Rodney Caffey, MS, LAT, ATC, CSCS
• Julie Lynn Cagle, LPC ASSOCIATE
• Sonya Cail, M.S. SLP-CCC/L
• Shadia Cain
• Shauneen M Cain, RPH
• Calab Inc
• Calab Inc

• Speech-Language Pathologist in Arlington, TX
• Providers in Arlington, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.