Individual provider Active NPI

Crystal Jean Wheeler Ezell, SLP

  • Speech-Language Pathologist
  • Grass Valley, CA
National Provider Identifier
1407107915
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
19152 Issued in CA
Practice address
698 Whiting St Ste G
Grass Valley, CA 95945-7568
Phone
(530) 210-2447
NPI assigned
Sep 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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 19152 CA Primary

Addresses

Primary practice location

698 Whiting St Ste G
Grass Valley, CA 95945-7568

Mailing address

698 Whiting St
Grass Valley, CA 95945-7568
Phone (530) 210-2447

Other practice location 1

25835 Table Meadow Rd
Auburn, CA 95602-8958
Phone (916) 410-5867

Other names 1

  • Crystal Jean Betito Former name

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
The Giggle Garden Incorporated Speech-Language Pathology Speech-Language Pathologist Current Accepting new patients

Locations

698 Whiting St
Ste G
Grass Valley, CA 95945
Phone (530) 210-2447

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": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1407107915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "698 WHITING ST",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457568",
            "telephone_number": "530-210-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 WHITING ST STE G",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457568",
            "telephone_number": "530-210-2447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25835 Table Meadow Rd",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "CA",
            "postal_code": "956028958",
            "country_code": "US",
            "telephone_number": "916-410-5867",
            "fax_number": "916-410-5867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EZELL",
        "first_name": "CRYSTAL",
        "middle_name": "JEAN WHEELER",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-24",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "19152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "BETITO",
            "middle_name": "JEAN",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.