Active NPI
Keegan Aleen Gallagher, M.S., CCC-SLP
- Speech-Language Pathologist
- Tucson, AZ
National Provider Identifier
1205192051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- TSLP7675
- Practice address
- 1601 N Tucson Blvd
Suite 6
Tucson, AZ 85716-3425 - Phone
- (520) 829-9635
- NPI assigned
- Apr 5, 2012
- 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 | TSLP7675 | AZ | Primary |
Addresses
Primary practice location
1601 N Tucson Blvd
Suite 6
Tucson, AZ 85716-3425
Mailing address
2542 E Towner St
Tucson, AZ 85716-2117
Phone (520) 954-9207
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TSLP7675 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mealtime Connections, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462838400000",
"number": "1205192051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2542 E TOWNER ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857162117",
"telephone_number": "520-954-9207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 N TUCSON BLVD",
"address_2": "SUITE 6",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857163425",
"telephone_number": "520-829-9635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "KEEGAN",
"middle_name": "ALEEN",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-05",
"last_updated": "2016-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "TSLP7675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.