Active NPI
Christine Eloise Crawford
- Speech-Language Pathologist
- Austin, TX
National Provider Identifier
1932891975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 122021
- Practice address
- 12708 Riata Vista Cir Ste A106
Austin, TX 78727-7174 - Phone
- (512) 795-2423
- NPI assigned
- May 25, 2023
- Last updated
- Jan 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 122021 | TX | Primary |
| Speech-Language Pathologist | 235Z00000X | S-5043 | MS |
Addresses
Primary practice location
12708 Riata Vista Cir Ste A106
Austin, TX 78727-7174
Mailing address
122 Roy Smith St Apt 4419
San Antonio, TX 78215-1379
Phone (502) 741-1210
Other practice location 1
1411 Highway 389
Starkville, MS 39759-8451
Phone (662) 769-4888
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
| License | State | Type | Specialty |
|---|---|---|---|
| S-5043 | MS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OT 4 Kidz, LLC | Current | Accepting new patients |
Locations
1411 Highway 389
Starkville, MS 39759
Phone (662) 769-4888
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Starkville, MS
- NPI 1558696658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1932891975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 ROY SMITH ST APT 4419",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782151379",
"telephone_number": "502-741-1210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12708 RIATA VISTA CIR STE A106",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787277174",
"telephone_number": "512-795-2423"
}
],
"practiceLocations": [
{
"address_1": "1411 Highway 389",
"address_purpose": "LOCATION",
"city": "Starkville",
"state": "MS",
"postal_code": "397598451",
"country_code": "US",
"telephone_number": "662-769-4888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRAWFORD",
"first_name": "CHRISTINE",
"middle_name": "ELOISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-25",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "122021",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S-5043",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.