Individual provider Active NPI

Christina Bennett, SLP

  • Speech-Language Pathologist
  • Huntsville, AL
National Provider Identifier
1740761097
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3695 Issued in AL
Practice address
802 Shoney Dr SW Ste C
Huntsville, AL 35801-5435
Phone
(256) 509-4398
Fax
(800) 317-4728
NPI assigned
Aug 24, 2018
Last updated
Aug 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3695 AL Primary

Addresses

Primary practice location

802 Shoney Dr SW Ste C
Huntsville, AL 35801-5435

Mailing address

PO Box 1647
Huntsville, AL 35807-0647
Phone (256) 509-4398

Other practice location 1

3601 Cci Dr NW Ste 270
Huntsville, AL 35805-2606
Phone (256) 509-4398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200728000810 AL Practitioner - Qualified Speech Language Pathologist 4082038716 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3695ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Say It Sow Single Specialty CurrentSince Jul 15, 2020 Accepting new patients
Therapy Achievements, LLC Single Specialty PastSince May 13, 2008 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1740761097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1647",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358070647",
            "telephone_number": "256-509-4398",
            "fax_number": "800-317-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 SHONEY DR SW STE C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015435",
            "telephone_number": "256-509-4398",
            "fax_number": "800-317-4728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 Cci Dr NW Ste 270",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358052606",
            "country_code": "US",
            "telephone_number": "256-509-4398",
            "fax_number": "800-317-4728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "CHRISTINA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "3695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.