Individual provider Active NPI

Crystal E Starnes, SLP

  • Speech-Language Pathologist
  • Springfield, TN
National Provider Identifier
1295057065
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3722 Issued in TN
Practice address
514 S Brown St
Springfield, TN 37172-2937
Phone
(615) 382-0500
Fax
(615) 382-0501
NPI assigned
Feb 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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 3722 TN Primary

Addresses

Primary practice location

514 S Brown St
Springfield, TN 37172-2937

Mailing address

514 S Brown St
Springfield, TN 37172-2937
Phone (615) 382-0500

Other practice location 1

2107 Park Plaza Dr
Springfield, TN 37172-3937
Phone (615) 382-0500

Other identifiers 1

IdentifierTypeStateIssuer
1517224MedicaidTN

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Pediatric Therapy Past Accepting new patients
Springfield Pediatric Therapy Center PLLC Past Accepting new patients

Organizations & group practices 2

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": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1295057065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S BROWN ST",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371722937",
            "telephone_number": "615-382-0500",
            "fax_number": "615-382-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S BROWN ST",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371722937",
            "telephone_number": "615-382-0500",
            "fax_number": "615-382-0501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2107 Park Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "TN",
            "postal_code": "371723937",
            "country_code": "US",
            "telephone_number": "615-382-0500",
            "fax_number": "615-382-0501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARNES",
        "first_name": "CRYSTAL",
        "middle_name": "E",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "3722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517224",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.