Individual provider Active NPI

Krista Lynn Eckert, MS, CCC-SLP

  • Speech-Language Pathologist
  • East Moline, IL
National Provider Identifier
1922380500
Registry record updated Apr 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
242.001856 Issued in IL
Practice address
4343 Kennedy Dr
East Moline, IL 61244-4203
Phone
(309) 796-6600
NPI assigned
Sep 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146011107 IL
Speech-Language Pathologist 235Z00000X 242.001856 IL Primary

Addresses

Primary practice location

4343 Kennedy Dr
East Moline, IL 61244-4203

Mailing address

2706 E 39TH St
Davenport, IA 52807-2327
Phone (563) 580-9292

Other practice location 1

2701 17th St
Rock Island, IL 61201-5351
Phone (309) 779-2009

Other names 1

  • Krista Lynn Helling Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
146011107ILMDSpeech-Language Pathologist
242.001856ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618012800000",
    "number": "1922380500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 E 39TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072327",
            "telephone_number": "563-580-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 KENNEDY DR",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612444203",
            "telephone_number": "309-796-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 17th St",
            "address_purpose": "LOCATION",
            "city": "Rock Island",
            "state": "IL",
            "postal_code": "612015351",
            "country_code": "US",
            "telephone_number": "309-779-2009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECKERT",
        "first_name": "KRISTA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2021-04-10",
        "certification_date": "2021-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146011107",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.001856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "HELLING",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2021; 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.