Tracy Marie Kellersberger

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9129313-4102 Issued in UT

Practice address

1133 N Main St Ste 206
Layton, UT 84041-4875

Phone

(801) 689-7459

Fax

(801) 543-3330

NPI assigned

Dec 9, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• We Speak Speech Therapy, LLC

  • Hearing and Speech Clinic/Center
  • Layton, UT
  • NPI 1831633890
  NPD (past)

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1265976211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 N 1120 W",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840158834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 N MAIN ST STE 206",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414875",
            "telephone_number": "801-689-7459",
            "fax_number": "801-543-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLERSBERGER",
        "first_name": "TRACY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-09",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "9129313-4102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Keevy
• Timothy Wayne Keffer, COUNSELOR
• Monica Kehoe, APRN FNP-C
• Jami Kelleher
• Morgan Keller
• Morgan Kelley, CSW
• Kelly Morse Counseling, LLC
• Kristina L Kelly Rose
• Kelsey Kim, LLC
• Alexis Kenison, CSW

• Speech-Language Pathologist in Layton, UT
• Providers in Layton, UT by specialty
• Speech-Language Pathologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.

Verify at the official NPI Registry.