Kristan Bullock, M.S., CCC-SLP
NPI 1689082521 · Speech-Language Pathologist · Idaho Falls, ID
Enrolled with Medicare as Practitioner - Qualified Speech Language Pathologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kristan Bullock, M.S., CCC-SLP is a Speech-Language Pathologist provider in Idaho Falls, ID (NPI 1689082521).
Provider details
- NPI number
- 1689082521
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S., CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- SLP 2623 (ID)
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
11 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
- 2014-07-23
- Last updated
- 2014-09-15
Frequently asked questions
- What is Kristan Bullock's NPI number?
- Kristan Bullock's National Provider Identifier (NPI) is 1689082521, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kristan Bullock's specialty?
- Kristan Bullock is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Kristan Bullock located?
- Kristan Bullock's practice location on file with NPPES is 3715 Woodking Dr, Idaho Falls, ID 83404-4720.
- What is Kristan Bullock's phone number?
- The practice phone number listed in the NPPES registry for Kristan Bullock is (208) 529-2255.
- Does Kristan Bullock accept Medicare?
- Kristan Bullock is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kristan Bullock's NPI active?
- Yes — Kristan Bullock's NPI (1689082521) is active in the NPPES registry as of the last update on 2014-09-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.