Individual provider Active NPI

Krystal A Lloyd, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Hawley, PA
National Provider Identifier
1760611131
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2575 Route 6 Ste 2
Hawley, PA 18428-7066
Phone
(570) 228-2248
Fax
(570) 227-1914
NPI assigned
Jul 7, 2009
Reactivated
Sep 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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 Primary

Addresses

Primary practice location

2575 Route 6 Ste 2
Hawley, PA 18428-7066

Mailing address

2575 Route 6 Ste 2
Hawley, PA 18428-7066
Phone (570) 228-2248

Other names 1

  • Krystal A Cruz Former name

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)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1760611131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 ROUTE 6 STE 2",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184287066",
            "telephone_number": "570-228-2248",
            "fax_number": "570-227-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 ROUTE 6 STE 2",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184287066",
            "telephone_number": "570-228-2248",
            "fax_number": "570-227-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLOYD",
        "first_name": "KRYSTAL",
        "middle_name": "A",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "deactivation_date": "2022-08-11",
        "reactivation_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTAL",
            "last_name": "CRUZ",
            "middle_name": "A",
            "credential": "M.S. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hawley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.