Active NPI
Krista Halseth
- Speech-Language Pathologist
- Brandon, SD
National Provider Identifier
1346693538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 326-SLP
- Practice address
- 300 S Splitrock Blvd
Brandon, SD 57005-1652 - Phone
- (605) 582-3446
- Fax
- (605) 582-3229
- NPI assigned
- Jul 22, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 326-SLP | SD | Primary |
Addresses
Primary practice location
300 S Splitrock Blvd
Brandon, SD 57005-1652
Mailing address
300 S Splitrock Blvd
Brandon, SD 57005-1652
Phone (605) 582-3446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134312077 | Medicaid | SD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 326-SLP | SD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1346693538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S SPLITROCK BLVD",
"city": "BRANDON",
"state": "SD",
"postal_code": "570051652",
"telephone_number": "605-582-3446",
"fax_number": "605-582-3229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S SPLITROCK BLVD",
"city": "BRANDON",
"state": "SD",
"postal_code": "570051652",
"telephone_number": "605-582-3446",
"fax_number": "605-582-3229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALSETH",
"first_name": "KRISTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-22",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SD",
"license": "326-SLP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134312077",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brandon, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.