Individual provider Active NPI

Crystal D Knight, M.S SLP

  • Speech-Language Pathologist
  • Alexandria, LA
National Provider Identifier
1245651041
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6337 Issued in LA
Practice address
1804 Macarthur Dr
Suite 410
Alexandria, LA 71301-3758
Phone
(318) 466-6111
NPI assigned
Dec 20, 2013
Last updated
Dec 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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 6337 LA Primary

Addresses

Primary practice location

1804 Macarthur Dr
Suite 410
Alexandria, LA 71301-3758

Mailing address

612 19TH St
Alexandria, LA 71301-6406
Phone (318) 664-7869

Other identifiers 1

IdentifierTypeStateIssuer
6337OtherLALBESPA

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6337LAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1245651041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 19TH ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713016406",
            "telephone_number": "318-664-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 MACARTHUR DR",
            "address_2": "SUITE 410",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013758",
            "telephone_number": "318-466-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "CRYSTAL",
        "middle_name": "D",
        "name_prefix": "Miss",
        "credential": "M.S SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "6337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LBESPA",
            "identifier": "6337",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.