Active NPI
Krista Fix, MA-CCC-SLP
- Speech-Language Pathologist
- Princeton, WV
National Provider Identifier
1801127923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-0398
- Practice address
- 120 12TH Street Ext
Princeton, WV 24740-2352 - Phone
- (304) 487-8000
- Fax
- (304) 425-3981
- NPI assigned
- Jan 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-0398 | WV | Primary |
Addresses
Primary practice location
120 12TH Street Ext
Princeton, WV 24740-2352
Mailing address
120 12TH Street Ext
Princeton, WV 24740-2352
Phone (304) 487-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2205 New Hope Rd
Princeton, WV 24739-8208
Phone (304) 301-5377
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-0398 | WV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Senior Care PC | Current | Accepting new patients | |
| Broad River Rehabilitation | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1 Pond St
Arden, NC 28704
Phone 82877452220027
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 and National Provider Directory roles.
-
dba Broad River Rehab
- Occupational Therapist
- Charlotte, NC
- NPI 1902317589
Speech-Language Pathologist, WV
-
dba Integrated Senior Care
- Geriatric Medicine (Family Medicine) Physician
- Saint Louis, MO
- NPI 1891689790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264723200000",
"number": "1801127923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 12TH STREET EXT",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402352",
"telephone_number": "304-487-8000",
"fax_number": "304-425-3981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 12TH STREET EXT",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402352",
"telephone_number": "304-487-8000",
"fax_number": "304-425-3981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIX",
"first_name": "KRISTA",
"credential": "MA-CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-29",
"last_updated": "2010-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WV",
"license": "SLP-0398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.