Individual provider Active NPI

Keelin Hubbard, MA

  • Speech-Language Pathologist
  • Tacoma, WA
National Provider Identifier
1255833760
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
3211 Fawcett Ave Apt 3
Tacoma, WA 98418-6908
Phone
(253) 792-1097
NPI assigned
Mar 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL61256660 WA
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

3211 Fawcett Ave Apt 3
Tacoma, WA 98418-6908

Mailing address

3211 Fawcett Ave Apt 3
Tacoma, WA 98418-6908
Phone (253) 792-1097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260126000307 WA Practitioner - Qualified Speech Language Pathologist 4587141122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

425 2ND St
Suite 405
San Francisco, CA 94107-1420

489 Sanchez St
San Francisco, CA 94114-2056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LL61256660WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hona Medical Group PA Speech-Language Pathologist CurrentSince Oct 11, 2025 Accepting new patients
Key Speech and Language LLC Speech-Language Pathologist PastSince Aug 17, 2025 Accepting new patients
LSG and Associates Inc Speech-Language Pathologist PastSince Dec 1, 2019 Accepting new patients
LSG and Associates LLC Past Accepting new patients

Locations

6303 Waterford District Dr
Ste 400
Miami, FL 33126
Phone (786) 801-1571

701 NE 136th Ave
Ste 200
Vancouver, WA 98684
Phone (253) 400-8338

Organizations & group practices 4

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": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1255833760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 FAWCETT AVE APT 3",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984186908",
            "telephone_number": "253-792-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 FAWCETT AVE APT 3",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984186908",
            "telephone_number": "253-792-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "KEELIN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL61256660",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.