Active NPI
Crystal Roberts, CCC-SLP
- Speech-Language Pathologist
- Smithville, TX
National Provider Identifier
1669136594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 106000
- Practice address
- 800 Bishop St
Smithville, TX 78957-1110 - Phone
- (512) 237-2406
- NPI assigned
- Oct 27, 2021
- Last updated
- Oct 12, 2022
- Sex
- Female
- Sole proprietor
- No
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 Pathologist | 235Z00000X | 106000 | TX | Primary |
Addresses
Primary practice location
800 Bishop St
Smithville, TX 78957-1110
Mailing address
PO Box 100
La Grange, TX 78945-0100
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 |
|---|---|---|---|
| 106000 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1669136594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100",
"city": "LA GRANGE",
"state": "TX",
"postal_code": "789450100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 BISHOP ST",
"city": "SMITHVILLE",
"state": "TX",
"postal_code": "789571110",
"telephone_number": "512-237-2406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "CRYSTAL",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-27",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "106000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithville, TX
- Kanaka Durga Paladugu, M.D.
- Rapid Results, LLP. (Rapid Results BT)
- Ravindra Parchuri Mdpllc
- Ginger Redden, LCSW
- River City Specialty Care
- Guillermo Francisco Sanchez, M.D.
- Scott Saunders Farmers Insurance
- Jodi Ann Segel, RN FNP C
- Seton Family of Hospitals (Towers Nursing Home)
- Lydia Clare Shelton, MSN, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.