Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629420369 Individual Practitioner Male Practitioner

Ethan Kristek , MS, CCC-SLP

Speech-Language Pathologist • Mount Vernon, MO

Professional Overview & Biography Verified Profile Summary

Ethan Kristek, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Mount Vernon, MO. Practice services are available at 1600 S HICKORY ST under active NPI credentials.

Frequently performed procedures and clinical services include treatment of swallowing and feeding disorder. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1600 S Hickory St

Mount Vernon, MO 657122045

Telephone 4174667103
Associated Practice Facility / Clinic
🏢 Missouri Veterans Commission Facility NPI 1982813341

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Mount Vernon, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 13.4 Yrs
Regional Practice Density
7 Specialists

Practicing in Mount Vernon, MO (5112 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
43.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92526 Treatment of swallowing and feeding disorder
135 11 $150.77 $84.75

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MO 2016020591

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Linda Collier , CF-SLP

Speech-Language Pathologist

NPI 1033472956

Clinical Fellow in Speech-Language Pathology

Ka Cheuk , MS, CCC-SLP

Speech-Language Pathologist

NPI 1124693742

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Megan Vanderbush , COTA

Occupational Therapy Assistant

NPI 1477229409

Certified Occupational Therapy Assistant

Eric Snow , PT

Physical Therapist

NPI 1477856805

Physical Therapist

Derek Curtis , PTA

Residential Treatment Facility, Physical Disabilities

NPI 1861834699

Physical Therapist Assistant

Andrew Minardi

Physical Therapist - Geriatrics

NPI 1922377407

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 06, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 06, 2016

Registered at 1600 S HICKORY ST, MOUNT VERNON, MO 657122045 (Tel: 4174667103)

📍
Updated Business Mailing Address July 06, 2016

Registered at 309 W SEMINOLE ST, SPRINGFIELD, MO 658072959

👤
Provider Name / Credentials Updated July 06, 2016

Recorded as ETHAN KRISTEK, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2016

Speech-Language Pathologist (License #2016020591 in MO)

🟢
Initial NPI Registration & Enumeration July 06, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629420369
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2016
Last Update: July 06, 2016
Sole Proprietor: Yes

Mailing Address

309 W Seminole St

Springfield, MO 658072959

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.