Active NPI
Abby Keener, CCC-SLP
- Speech-Language Pathologist
- Los Angeles, CA
National Provider Identifier
1013555697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 23192
- Practice address
- 117 N Highland Ave
Los Angeles, CA 90036-3030 - Phone
- (323) 954-0887
- NPI assigned
- Dec 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 23192 | CA | Primary |
Addresses
Primary practice location
117 N Highland Ave
Los Angeles, CA 90036-3030
Mailing address
700 S Myrtle Ave Apt 234
Monrovia, CA 91016-8412
Phone (810) 287-4889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23192 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576281600000",
"number": "1013555697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 S MYRTLE AVE APT 234",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910168412",
"telephone_number": "810-287-4889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 N HIGHLAND AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900363030",
"telephone_number": "323-954-0887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENER",
"first_name": "ABBY",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-14",
"last_updated": "2019-12-14",
"certification_date": "2019-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "23192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.