Organization Active NPI

Keycare Therapies, Inc.

  • Speech-Language Pathologist
  • Chapel Hill, NC
National Provider Identifier
1225199672
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5005 Issued in NC
Legal business name
KEYCARE THERAPIES, INC.
Practice address
129 Wolfs CT
Chapel Hill, NC 27516-9379
Phone
(919) 960-9306
Fax
(919) 960-9306
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Kathy W Coulter, MSP, CCC-SLP
Title
Speech Language Pathologist
Phone
(919) 960-9306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X 5005 NC Primary

Addresses

Primary practice location

129 Wolfs CT
Chapel Hill, NC 27516-9379

Mailing address

129 Wolfs CT
Chapel Hill, NC 27516-9379
Phone (919) 960-9306

Other identifiers 2

IdentifierTypeStateIssuer
7211618MedicaidNC
7412208MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1225199672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 WOLFS CT",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275169379",
            "telephone_number": "919-960-9306",
            "fax_number": "919-960-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 WOLFS CT",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275169379",
            "telephone_number": "919-960-9306",
            "fax_number": "919-960-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYCARE THERAPIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "COULTER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "919-960-9306",
        "authorized_official_credential": "MSP, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "5005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211618",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412208",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.