Kristina Marie Brazeal

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP3167 Issued in AR

Practice address

92 South Broadveiw, Hwy 65
Greenbrier, AR 72058

Phone

(501) 679-5050

NPI assigned

Jul 19, 2012

Last updated

Dec 15, 2025By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1891040564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 RENFROW ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343329",
            "telephone_number": "501-697-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 SOUTH BROADVEIW, HWY 65",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "72058",
            "telephone_number": "501-679-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Russell Rd",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728024320",
            "country_code": "US",
            "telephone_number": "479-967-2316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAZEAL",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-19",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP3167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginger Blacksmith, LPC
• Lauren Blansett, APRN, DNP-FNP
• Savanna Nicole Boone, RN
• Gary Wayne Bowman, D.O.
• Thomas A Bradley, APRN
• Christie M. Brewer, MS, CCC-SLP
• Amesha Brewies
• Kara Michelle Brooks
• Broom Chiropractic and Sports Therapy
• Dustin Brown

• Speech-Language Pathologist in Greenbrier, AR
• Providers in Greenbrier, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.