Kristina Marie Eubanks, M.S. CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

200525 Issued in AR

Practice address

9209 Dollarway Rd
White Hall, AR 71602-2616

Phone

(870) 247-0800

NPI assigned

May 28, 2019

Last updated

May 28, 2019By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1699332379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 LONESOME OAK LOOP",
            "city": "HENSLEY",
            "state": "AR",
            "postal_code": "720659529",
            "telephone_number": "501-722-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9209 DOLLARWAY RD",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716022616",
            "telephone_number": "870-247-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUBANKS",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "credential": "M.S. CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "200525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR PROVISIONAL LICENSE",
            "identifier": "200525",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ebone' Edgerson, QBHP
• Sherry Edwards
• Montessa N Elkins, PT, DPT
• Deeann English, LPC
• Lisa Diane Estes, M.S., C.C.C., SLP
• Tequlia Everett, LMSW
• Family Eyecare Clinic Inc
• Family Medicine of White Hall, P.a.
• Lisa Fellows
• Christopher Dwayne Fields

• Speech-Language Pathologist in White Hall, AR
• Providers in White Hall, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.