Individual provider Active NPI

Kresta Lee Atkin, M.A., CCC-SLP

  • Speech-Language Pathologist
  • New Braunfels, TX
National Provider Identifier
1497268577
Registry record updated Nov 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
111553 Issued in TX
Practice address
1004 Mission Dr
New Braunfels, TX 78130-6129
Phone
(830) 625-8338
NPI assigned
Nov 10, 2017
Last updated
Nov 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2017

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 111553 TX Primary

Addresses

Primary practice location

1004 Mission Dr
New Braunfels, TX 78130-6129

Mailing address

195 Lakeside Dr
Seguin, TX 78155-3114
Phone (435) 730-0469

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
111553TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Rehabilitation and Habilitation Specialists, LLC Speech-Language Pathologist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510272000000",
    "number": "1497268577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 LAKESIDE DR",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781553114",
            "telephone_number": "435-730-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 MISSION DR",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306129",
            "telephone_number": "830-625-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKIN",
        "first_name": "KRESTA",
        "middle_name": "LEE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-10",
        "last_updated": "2017-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2017; 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.