Crystal Marie Waage, MS ED CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

683 State Ave
Dickinson, ND 58601-4660

Phone

(701) 483-9400

NPI assigned

Sep 11, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Medicare enrollment (NPD)

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.

• Avera Queen of Peace

  dba AMG Hospitalists Mitchell

  • Hospitalist Physician
  • Mitchell, SD
  • NPI 1205359031
  Medicare reassignment NPD
• Omaha Therapy, Inc

  dba Rehab Visions

  • Rehabilitation Clinic/Center
  • Dickinson, ND
  • NPI 1730280371
  NPD
• Avera Queen of Peace

  dba Avera Weskota Memorial Medical Center

  • Critical Access Hospital
  • Wessington Springs, SD
  • NPI 1316942204
  NPD
• Avera Queen of Peace

  dba Avera Therapy Mitchell

  • Physical Therapist
  • Mitchell, SD
  • NPI 1922448034

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1699960799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 IDAHO AVE SE",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573503636",
            "telephone_number": "605-216-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 STATE AVE",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014660",
            "telephone_number": "701-483-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "716 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Groton",
            "state": "SD",
            "postal_code": "574452166",
            "country_code": "US",
            "telephone_number": "605-216-8986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1257 Idaho Ave SE",
            "address_purpose": "LOCATION",
            "city": "Huron",
            "state": "SD",
            "postal_code": "573503636",
            "country_code": "US",
            "telephone_number": "605-216-8986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAAGE",
        "first_name": "CRYSTAL",
        "middle_name": "MARIE",
        "credential": "MS ED CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SD",
            "license": "470-SLP",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "2380",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn D Villars
• Alejandra Villegas
• Visionary Eye Care
• Bruce Thomas Vogel
• Ashlyn Rose Vogle, LMSW
• Kailey Waage
• Lindsey Renee Wagner, RN
• Michelle Wagoner
• Jennifer L Wahl, PHARMD
• Nancy Wahl

• Speech-Language Pathologist in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Speech-Language Pathologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.