Krystal Renee Eubanks

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2051 Issued in AR

Practice address

510 Spriggs Rd
North Little Rock, AR 72118-2336

Phone

(501) 733-1483

NPI assigned

Dec 7, 2006

Last updated

Jun 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Above and Beyond Mobile Therapy PLLC

  • Physical Rehabilitation Occupational Therapist
  • North Little Rock, AR
  • NPI 1679171383
  Authorized official Same address or phone
• Just for Kids Therapy Services

  • Speech-Language Pathologist
  • Sherwood, AR
  • NPI 1265404917
  NPD (past)
• Just for Kids Therapy Services

  • Speech-Language Pathologist
  • Sherwood, AR
  • NPI 1457421042

  Occupational Therapist

  NPD (past)
• Trilogy Therapy Services, Inc

  • Rehabilitation Clinic/Center
  • Dover, AR
  • NPI 1740297340
  NPD (past)

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1750440517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 SPRIGGS RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721182336",
            "telephone_number": "501-733-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 SPRIGGS RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721182336",
            "telephone_number": "501-733-1483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9210 Trail Run Rd",
            "address_purpose": "LOCATION",
            "city": "Sherwood",
            "state": "AR",
            "postal_code": "721209422",
            "country_code": "US",
            "telephone_number": "501-834-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EUBANKS",
        "first_name": "KRYSTAL",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2021-06-01",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "2051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160499721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5Y915",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Ann Erickson, RDN
• Jerry Martin Erickson Jr., LAC
• Jose Dan Octoso Escarda, MD
• Virginia K Eschbacher
• Katelyn Etheredge
• James Alford Evans-Hammond, LCSW
• Mander Heath Evans, LCSW
• Shelly Lynn Evans, APN
• Terri Jean Evans, REGISTERED NURSE
• Tionna Angeline Evans

• Occupational Therapist in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.