Crystal Sebring, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

124313 Issued in AK

Practice address

8832 Dome Cir
Eagle River, AK 99577-8560

Phone

(575) 910-7227

NPI assigned

Jun 25, 2015

Last updated

Jan 7, 2019By 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 2

Addresses

Other identifiers 1

Other names 1

• Crystal Jeffers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1942682919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8832 DOME CIR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778560",
            "telephone_number": "575-910-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8832 DOME CIR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778560",
            "telephone_number": "575-910-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBRING",
        "first_name": "CRYSTAL",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "SLP6046",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "124313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE & HEARING ASSOCIATION",
            "identifier": "14084151",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "JEFFERS",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Corissa Breann Schwartz
• Courtney Schwartz, DDS
• Myron Gay Schweigert, DC
• Juanita Scott-Gonzalez
• Catherine Seaver, DPT
• Select Physical Therapy Holdings Inc
• Select Physical Therapy Holdings Inc (Select Physical Therapy)
• Serendipity Care Services, LLC (BrightStar Care of Anchorage)
• Kristi Seymour, LPC
• Pamela Shackelford, BCBA

• Speech-Language Pathologist in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Speech-Language Pathologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.