Krista Jean Hale, MS SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP2001 Issued in ID

Practice address

7677 W Portneuf Rd
Pocatello, ID 83204-7336

Phone

(208) 232-4769

NPI assigned

Sep 24, 2010

Last updated

Mar 7, 2023By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Bloom Center for Pediatric Therapy, LLC

  • Speech-Language Pathologist
  • Pocatello, ID
  • NPI 1215397666
  NPD

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1578871505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 S BONITO WAY STE 190",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425618",
            "telephone_number": "208-287-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7677 W PORTNEUF RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832047336",
            "telephone_number": "208-232-4769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 Homerun St",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832021616",
            "country_code": "US",
            "telephone_number": "208-520-4771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALE",
        "first_name": "KRISTA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "MS SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "TSLP2001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Juliana Hackett, PHARMD
• Kaylene Bobi Hackworth, LCSW
• Kilynn Lois Hainline, LCSW
• Paul Haislip, FNP
• Diana Halaliku, MS
• Nicholas A Hale, PA
• Elizabeth Haley
• Chalyse A Hall, M.S.
• Danson S. Hall, DPT
• Dominee Rachelle Hall

• Speech-Language Pathologist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Speech-Language Pathologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.