Individual provider Active NPI

Abby Marie Keo, M.S. CCC - SLP

  • Speech-Language Pathologist
  • Towson, MD
National Provider Identifier
1144600156
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202007857 Issued in VA
Practice address
1026 Cromwell Bridge Rd
Towson, MD 21286-3318
Phone
(410) 583-1515
NPI assigned
Jun 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202007857 VA Primary

Addresses

Primary practice location

1026 Cromwell Bridge Rd
Towson, MD 21286-3318

Mailing address

9907 Kingsbridge Dr
Fairfax, VA 22031-1695
Phone (703) 774-4501

Other identifiers 1

IdentifierTypeStateIssuer
2202007857OtherVAVIRGINIA BOARD OF SPEECH-LANGUAGE PATHOLOGY

Other names 1

  • Abby Marie Lantzy Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2202007857VAMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1144600156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9907 KINGSBRIDGE DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220311695",
            "telephone_number": "703-774-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 CROMWELL BRIDGE RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212863318",
            "telephone_number": "410-583-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEO",
        "first_name": "ABBY",
        "middle_name": "MARIE",
        "credential": "M.S. CCC - SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202007857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA BOARD OF SPEECH-LANGUAGE PATHOLOGY",
            "identifier": "2202007857",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "LANTZY",
            "middle_name": "MARIE",
            "credential": "M.S. CF- SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.