MR. ETHAN KRISTEK M.S., CCC-SLP
NPI 1629420369
Speech-Language Pathologist in Mount Vernon, MO

Active since July 06, 2016
1600 S HICKORY ST, MOUNT VERNON, MO 65712(417) 466-7103 Get Directions Write a Review

NPPES record last updated: July 6, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Ethan Kristek M.s., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ETHAN KRISTEK M.S., CCC-SLP (NPI 1629420369) is an individual speech-language pathologist provider in Mount Vernon, Missouri, licensed in Missouri (2016020591) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1629420369
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameMR. ETHAN KRISTEKCredential: M.S., CCC-SLP
Location Address1600 S HICKORY STMount Vernon, MO 65712-2045
Mailing Address309 W Seminole StSpringfield, MO 65807-2959
Sole ProprietorYes
Enumeration DateJuly 6, 2016
NPI 1629420369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in MO · 2016020591
Definition

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.

1600 S HICKORY ST, Mount Vernon, MO 65712

Accepted Insurance

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
1600 S HICKORY ST
MOUNT VERNON, MO 65712
Speech-Language Pathologist
1600 S HICKORY ST
MOUNT VERNON, MO 65712
Skilled Nursing Facility
1600 S HICKORY ST
MOUNT VERNON, MO 65712
Occupational Therapy Assistant
1600 S HICKORY ST
MOUNT VERNON, MO 65712
Physical Therapist
1600 S HICKORY ST
MOUNT VERNON, MO 65712
Speech-Language Pathologist
1600 S HICKORY ST
MOUNT VERNON, MO 65712
Residential Treatment Facility, Physical Disabilities
1600 S HICKORY ST
MOUNT VERNON, MO 65712
Physical Therapist (Geriatrics)
1600 S HICKORY ST
MOUNT VERNON, MO 65712

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Kristek's NPI number?

The NPI number for Ethan Kristek is 1629420369. It was assigned to this individual provider in the NPPES registry on July 6, 2016.

Where is Ethan Kristek located?

Ethan Kristek practices at 1600 S Hickory St, Mount Vernon, MO 65712. The listed phone number is (417) 466-7103.

What is Ethan Kristek's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

What insurance does Ethan Kristek accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Ethan Kristek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ethan Kristek was last updated on July 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.