Individual provider Active NPI

Christa Lynn Richbourg, ST

  • Speech-Language Pathologist
  • Palestine, TX
National Provider Identifier
1902058076
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
100334 Issued in TX
Practice address
1007 E Park Ave
Palestine, TX 75801-4500
Phone
(903) 731-8000
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 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 100334 TX Primary

Addresses

Primary practice location

1007 E Park Ave
Palestine, TX 75801-4500

Mailing address

656 Acr 167
Elkhart, TX 75839
Phone (903) 279-5478

Other practice location 1

101 West Jefferson
Trinity, TX 75862-0752
Phone (936) 594-3569

Other practice location 2

656 Acr 167
Elkhart, TX 75839
Phone (903) 279-5478

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
100334TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Isd Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1902058076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 ACR 167",
            "city": "ELKHART",
            "state": "TX",
            "postal_code": "75839",
            "telephone_number": "903-279-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 E PARK AVE",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758014500",
            "telephone_number": "903-731-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 West Jefferson",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "TX",
            "postal_code": "758620752",
            "country_code": "US",
            "telephone_number": "936-594-3569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "656 ACR 167",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "TX",
            "postal_code": "75839",
            "country_code": "US",
            "telephone_number": "903-279-5478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHBOURG",
        "first_name": "CHRISTA",
        "middle_name": "LYNN",
        "credential": "ST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2022-09-27",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "100334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palestine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.