Individual provider Active NPI

Kristi Dull, ST

  • Speech-Language Pathologist
  • Athens, OH
National Provider Identifier
1790327104
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.13213 Issued in OH
Practice address
141 Columbus Rd
Athens, OH 45701-1315
Phone
(740) 249-4318
Fax
(740) 249-4330
NPI assigned
Oct 17, 2019
Last updated
Mar 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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 SP.13213 OH Primary

Addresses

Primary practice location

141 Columbus Rd
Athens, OH 45701-1315

Mailing address

PO Box 188
Chillicothe, OH 45601-0188
Phone (740) 773-4366

Other practice location 1

141 Columbus Rd
Athens, OH 45701-1315
Phone (740) 589-5132

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210310002721 OH Practitioner - Qualified Speech Language Pathologist 9133535487 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hopewell Health Centers Inc Current Accepting new patients
Hopewell Health Centers, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Hopewell Health Centers Inc CurrentSince Mar 1, 2021 Accepting new patients
Kelly Twehues, LLC Speech-Language Pathologist PastSince Apr 1, 2020 Accepting new patients

Locations

90 Hospital Dr
Athens, OH 45701
Phone (740) 592-3091

25 S Clinton St
The Plains, OH 45780
Phone (740) 249-4318

Organizations & group practices 4

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": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1790327104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456010188",
            "telephone_number": "740-773-4366",
            "fax_number": "740-773-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 COLUMBUS RD",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011315",
            "telephone_number": "740-249-4318",
            "fax_number": "740-249-4330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Columbus Rd",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457011315",
            "country_code": "US",
            "telephone_number": "740-589-5132",
            "fax_number": "740-593-6129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DULL",
        "first_name": "KRISTI",
        "credential": "ST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.13213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.