Active NPI
Kristin Morris, SLP-A
- Speech-Language Assistant
- El Dorado, AR
National Provider Identifier
1417355371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 14-0142
- Practice address
- 625 E 19TH St Apt F6
El Dorado, AR 71730-3162 - Phone
- (870) 853-7874
- NPI assigned
- Dec 9, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 Assistant | 2355S0801X | 14-0142 | AR | Primary |
Addresses
Primary practice location
625 E 19TH St Apt F6
El Dorado, AR 71730-3162
Mailing address
625 E 19TH St Apt F6
El Dorado, AR 71730-3162
Phone (870) 853-7874
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 |
|---|---|---|---|
| 14-0142 | AR | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418083200000",
"number": "1417355371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 E 19TH ST APT F6",
"city": "EL DORADO",
"state": "AR",
"postal_code": "717303162",
"telephone_number": "870-853-7874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 E 19TH ST APT F6",
"city": "EL DORADO",
"state": "AR",
"postal_code": "717303162",
"telephone_number": "870-853-7874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "KRISTIN",
"credential": "SLP-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-09",
"last_updated": "2014-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AR",
"license": "14-0142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Dorado, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.