Krystal Sandoval, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

108172 Issued in TX

Practice address

3355 Cherry Ridge St
Ste. 218
San Antonio, TX 78230-4815

Phone

(210) 614-4466

NPI assigned

Jul 24, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Home Health Care Specialists, LLC

  • Speech-Language Pathologist
  • San Antonio, TX
  • NPI 1659657757
  NPD (past)
• Rehabcare Group East, LLC

  • Rehabilitation Clinic/Center
  • Kingwood, TX
  • NPI 1255785721
  NPD (past)

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1881079424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 TEATRO WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782535691",
            "telephone_number": "210-995-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 CHERRY RIDGE ST",
            "address_2": "STE. 218",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304815",
            "telephone_number": "210-614-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "KRYSTAL",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "108172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joann Janet Sandoval, LPC
• Joseph Anthony Sandoval
• Karen Alondra Sandoval
• Karen Elizabeth Sandoval
• Kenneth A. Sandoval, M.D.
• Liliana Sandoval
• Maria De Los Angeles Sandoval, MD
• Martha Emelia Sandoval, RN
• Martin Sandoval, MD
• Miguel Sandoval

• Speech-Language Pathologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.