Crystal Carroll Ms CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

CRYSTAL CARROLL MS CCC-SLP

Practice address

10046 Daisy Ave
Palm Beach Gardens, FL 33410-4723

Phone

(806) 570-1523

NPI assigned

Jan 4, 2023

Organization subpart

No

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

Authorized official

Name

Crystal Carroll, CCC-SLPNPI 1508451915

Title

Owner

Phone

(806) 570-1523

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Crystal Carroll, MS, CCC-SLP

  • Speech-Language Pathologist
  • Jupiter, FL
  • NPI 1508451915
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1972216976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10046 DAISY AVE",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104723",
            "telephone_number": "806-570-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10046 DAISY AVE",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104723",
            "telephone_number": "806-570-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CARROLL MS CCC-SLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-570-1523",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Lynn Crossley, ARNP
• Betsy V Cruz Mite
• Elvis Kendrick Cruz, FNP
• Maritza Niani Cruz
• Nathalia Cruz
• Ola K Culbertson, DO
• Terri Michelle Cunningham Rose
• Lancey Irene Cunningham, ARNP
• Thomas Curcio
• Curepoint Inc

• Speech-Language Pathologist in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.