Active NPI
Kristen Musteen, M.S., CCC-SLP
- Speech-Language Pathologist
- Bentonville, AR
National Provider Identifier
1669629861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 9649 W Pleasant Grove Rd
Bentonville, AR 72713-2004 - Phone
- (417) 455-0907
- Fax
- (417) 451-8855
- NPI assigned
- Aug 19, 2008
- 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 Pathologist | 235Z00000X | AR | Primary |
Addresses
Primary practice location
9649 W Pleasant Grove Rd
Bentonville, AR 72713-2004
Mailing address
6 Murrow LN
Bella Vista, AR 72714-4815
Phone (479) 936-4122
Other names 1
- Kristen Gassmann
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 Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1669629861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 MURROW LN",
"city": "BELLA VISTA",
"state": "AR",
"postal_code": "727144815",
"telephone_number": "479-936-4122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9649 W PLEASANT GROVE RD",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727132004",
"telephone_number": "417-455-0907",
"fax_number": "417-451-8855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSTEEN",
"first_name": "KRISTEN",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-19",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "GASSMANN",
"credential": "M.S., CCC-SLP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.