CRISTA NOEL GREGOIRE – Speech-Language Pathologist, NPI 1104510221

CRISTA NOEL GREGOIRE is a healthcare provider. based in Dallas, Texas. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold a License No. 119706 (TX). The NPI Number for CRISTA NOEL GREGOIRE is 1104510221

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
CRISTA NOEL GREGOIRE
NPI
1104510221
Phone
(818) 383-6690
Address
4647 COLE AVE APT 811
Enumeration Date
5 June 2023
Last Update Date
5 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9723872824
Graduation Year
2022 (4 years ago)
PAC ID
7315387891
Group Practice PAC ID
3971949520
Professional Enrollment ID
I20240501001168
Address ID
TX752302068DA12700RDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

635 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in TX

Provider Addresses for CRISTA NOEL GREGOIRE

  • 4647 COLE AVE APT 811

    DALLAS, TX 752055565

    Phone: (818) 383-6690

    Type: Mailing

  • 4530 BELTWAY DR

    ADDISON, TX 750013707

    Phone: (818) 383-6690

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240501001168IQualified Speech Language PathologistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75205)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971949520View full group profile
NameSpecialtyState
Qualified Speech Language PathologistGA
Qualified AudiologistTX
Qualified Speech Language PathologistTX
Qualified Speech Language PathologistTX
Qualified Speech Language PathologistAR

Reviews

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Frequently asked questions

What is the 10-digit NPI for CRISTA NOEL GREGOIRE?
CRISTA NOEL GREGOIRE — NPI 1104510221 — is the standard way to identify this listing.
Can I rely on CRISTA NOEL GREGOIRE being an active provider?
As of the registry snapshot, CRISTA NOEL GREGOIRE is marked active.
What is CRISTA NOEL GREGOIRE best known for clinically?
Directory data describes CRISTA NOEL GREGOIRE with Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Where is CRISTA NOEL GREGOIRE based?
CRISTA NOEL GREGOIRE is tied to Dallas, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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