Keely Marie Perkes, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9404283-4102 Issued in UT

Practice address

6410 Old Main HL
Logan, UT 84322-6410

Phone

(435) 797-4200

NPI assigned

Dec 19, 2022

Last updated

Dec 19, 2022By the provider in NPPES

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

Enrolled in UT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Utah State University

  • Audiologist
  • Logan, UT
  • NPI 1235374984

  Speech-Language Pathologist

  Medicare reassignment NPD
• Usu Student Health & Wellness

  • Health Service Clinic/Center
  • Logan, UT
  • NPI 1992170443
  NPD (past)

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1356053607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 E 480 S",
            "city": "HYRUM",
            "state": "UT",
            "postal_code": "843197116",
            "telephone_number": "801-390-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 OLD MAIN HL",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843226410",
            "telephone_number": "435-797-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKES",
        "first_name": "KEELY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "9404283-4102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Lee Peery, D.M.D.
• McKell Peidl
• Faith Pennington
• Brian K. Penrose, DPM
• Jacob Penrose, DPT, CWS
• Lisa Perkins
• Mark Perkins
• Rilee Diane Perrett, LCSW
• Jenika A. Perry, CSW
• Chase B Petersen, M.D.

• Speech-Language Pathologist in Logan, UT
• Providers in Logan, 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 19, 2022; 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.

Verify at the official NPI Registry.