Sibyl DGG Crisostomo, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP002 Issued in GU

Practice address

770 Toto Canada Road
Toto, GU 96931

Phone

(671) 477-7773

Fax

(671) 477-7773

NPI assigned

Nov 18, 2009

Last updated

Mar 27, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GU

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Guam Healthcare Development Incorporated

  dba GRMC Specialty Care Center

  • Clinic/Center
  • Dededo, GU
  • NPI 1326447939
  Medicare reassignment NPD
• Hafa Specialist Group LLP

  dba Hafa Adai Specialist Group LLP

  • Specialist
  • Tamuning, GU
  • NPI 1235141060
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1447588116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 CANADA TOTO RD",
            "city": "BARRIGADA",
            "state": "GU",
            "postal_code": "969131703",
            "telephone_number": "671-477-7773",
            "fax_number": "671-477-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 TOTO CANADA ROAD",
            "city": "TOTO",
            "state": "GU",
            "postal_code": "96931",
            "telephone_number": "671-477-7773",
            "fax_number": "671-477-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISOSTOMO",
        "first_name": "SIBYL",
        "middle_name": "DGG",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GU",
            "license": "SLP002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Rose Pablo Laguana
• James Leon Rollen Jr., CSAC II LCSW

• Speech-Language Pathologist in Toto, GU
• Providers in Toto, GU by specialty
• Speech-Language Pathologist in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.