Active NPI
Allison Kathleen Keeler, M.A., CCC-SLP
- Speech-Language Pathologist
- Warwick, RI
National Provider Identifier
1265616379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7305
- Practice address
- 247 Park View Ave
Warwick, RI 02888-2507 - Phone
- (508) 692-7190
- NPI assigned
- Dec 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 7305 | MA | Primary |
Addresses
Primary practice location
247 Park View Ave
Warwick, RI 02888-2507
Mailing address
247 Park View Ave
Warwick, RI 02888-2507
Phone (508) 692-7190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29412 | CA | MD | Reflexologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Therapy Group LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182
3389 Sheridan St
Hollywood, FL 33021
Phone (954) 247-8757
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": "1198627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590537600000",
"number": "1265616379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 PARK VIEW AVE",
"city": "WARWICK",
"state": "RI",
"postal_code": "028882507",
"telephone_number": "508-692-7190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 PARK VIEW AVE",
"city": "WARWICK",
"state": "RI",
"postal_code": "028882507",
"telephone_number": "508-692-7190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEELER",
"first_name": "ALLISON",
"middle_name": "KATHLEEN",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-26",
"last_updated": "2020-05-27",
"certification_date": "2020-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "7305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.