Individual provider Active NPI

Krystal Vigil, CCC- SLP

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1316481047
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14110220
Practice address
7216 Lew Wallace Dr NE Apt A302
Albuquerque, NM 87109-6313
Phone
(505) 818-7278
NPI assigned
Dec 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP.0002597 CO
Speech-Language Pathologist 235Z00000X 14110220 Primary

Addresses

Primary practice location

7216 Lew Wallace Dr NE Apt A302
Albuquerque, NM 87109-6313

Mailing address

7216 Lew Wallace Dr NE Apt A302
Albuquerque, NM 87109-6313
Phone (505) 818-7278

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

State licenses

LicenseStateTypeSpecialty
SLP.0002597COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirations Pediatric & Adult Speech Language Pathology Services Speech-Language Pathologist Current Accepting new patients

Locations

131 Madison St NE
Ste 101
Albuquerque, NM 87108

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": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1316481047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7216 LEW WALLACE DR NE APT A302",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096313",
            "telephone_number": "505-818-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7216 LEW WALLACE DR NE APT A302",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096313",
            "telephone_number": "505-818-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGIL",
        "first_name": "KRYSTAL",
        "credential": "CCC- SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-14",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0002597",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "14110220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.