Individual provider Active NPI

Tristen Elaine Price, M.S. CF-SLP

  • Speech-Language Pathologist
  • Little Rock, AR
National Provider Identifier
1265006001
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
201343 Issued in AR
Practice address
1200 Reservoir Rd
Little Rock, AR 72227-5712
Phone
(501) 447-5500
NPI assigned
May 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2021

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 201343 AR Primary

Addresses

Primary practice location

1200 Reservoir Rd
Little Rock, AR 72227-5712

Mailing address

2586 Trailridge Dr E Ste 100
Lafayette, CO 80026-3111
Phone (303) 258-0725

Other identifiers 1

IdentifierTypeStateIssuer
201343OtherARSP PROVISIONAL (LICENSED BY THE ARKANSAS BOARD OF EXAMINERS SPEECH- LANGUAGE PAT

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
201343ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kid Success, Inc. 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": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1265006001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2586 TRAILRIDGE DR E STE 100",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263111",
            "telephone_number": "303-258-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 RESERVOIR RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722275712",
            "telephone_number": "501-447-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "TRISTEN",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "201343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SP PROVISIONAL (LICENSED BY THE ARKANSAS BOARD OF EXAMINERS SPEECH- LANGUAGE PAT",
            "identifier": "201343",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.