Active NPI
Eleanor B Keller
- Speech-Language Pathologist
- Kensington, MD
National Provider Identifier
1407182934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 03465
- Practice address
- 10609 Lexington St
Kensington, MD 20895-2514 - Phone
- (301) 933-0696
- NPI assigned
- Oct 18, 2009
- Last updated
- Oct 18, 2009
- 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 | 03465 | MD | Primary |
Addresses
Primary practice location
10609 Lexington St
Kensington, MD 20895-2514
Mailing address
10609 Lexington St
Kensington, MD 20895-2514
Phone (301) 933-0696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03465 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255824000000",
"number": "1407182934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10609 LEXINGTON ST",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208952514",
"telephone_number": "301-933-0696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10609 LEXINGTON ST",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208952514",
"telephone_number": "301-933-0696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "ELEANOR",
"middle_name": "B",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-18",
"last_updated": "2009-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "03465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kensington, MD
- Adilakshmi S. Kansal, MD
- Parisa Karimi, DPT
- Steven T Kariya, MD
- Chava Sara Katzoff
- Balbinder Kaur, MD
- Kensington Audiology, LLC
- Kensington Family Dentistry
- Kensington Nursing and Rehab Center LLC (Turtle Creek Rehabilitation and Wellness Center)
- Kensington Nursing, LLC (Kensington Healthcare Center)
- Kensington Pharmacy LLC (Kensington Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.