What is Ethan Kristek's NPI number?

Ethan Kristek's National Provider Identifier (NPI) is 1629420369, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ethan Kristek's specialty?

Ethan Kristek is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).

Where is Ethan Kristek located?

Ethan Kristek's practice location on file with NPPES is 1600 S Hickory St, Mount Vernon, MO 65712-2045.

What is Ethan Kristek's phone number?

The practice phone number listed in the NPPES registry for Ethan Kristek is (417) 466-7103.

Is Ethan Kristek's NPI active?

Yes — Ethan Kristek's NPI (1629420369) is active in the NPPES registry as of the last update on 2016-07-06.

IndividualActive

Ethan Kristek, M.S., CCC-SLP

NPI 1629420369 · Speech-Language Pathologist · Mount Vernon, MO

Ethan Kristek, M.S., CCC-SLP is a Speech-Language Pathologist provider in Mount Vernon, MO (NPI 1629420369).

Provider details

NPI number: 1629420369
Entity type: Individual
Primary specialty: Speech-Language PathologistSpeech, Language and Hearing Service Providers
Credential: M.S., CCC-SLP
Sex: Male
Sole proprietor: Yes
License: 2016020591 (MO)

Practice location

1600 S Hickory St

Mount Vernon, MO 65712-2045

Phone: (417) 466-7103

Street-level locationGet directions

More MO providers

Mailing address

309 W Seminole St

Springfield, MO 65807-2959

Specialties & taxonomies

Speech-Language PathologistPrimary235Z00000XLicense 2016020591 (MO)
Speech, Language and Hearing Service Providers

Profile Score

Established profile(72/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
10 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2016-07-06
Last updated: 2016-07-06

Frequently asked questions

What is Ethan Kristek's NPI number?: Ethan Kristek's National Provider Identifier (NPI) is 1629420369, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Ethan Kristek's specialty?: Ethan Kristek is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
Where is Ethan Kristek located?: Ethan Kristek's practice location on file with NPPES is 1600 S Hickory St, Mount Vernon, MO 65712-2045.
What is Ethan Kristek's phone number?: The practice phone number listed in the NPPES registry for Ethan Kristek is (417) 466-7103.
Is Ethan Kristek's NPI active?: Yes — Ethan Kristek's NPI (1629420369) is active in the NPPES registry as of the last update on 2016-07-06.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions