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)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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.
Practice location
Mailing address
Registry dates
- 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.