Active NPI
Keely Ann Bill, MS, CCC-SLP
- Speech-Language Pathologist
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 167274
- Practice address
- 421 US 31W Byp
Bowling Green, KY 42101-1775 - Phone
- (270) 782-7768
- Fax
- (270) 781-9480
- NPI assigned
- Oct 17, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 172986 | KY | |
| Speech-Language Pathologist | 235Z00000X | 167274 | KY | Primary |
Addresses
Primary practice location
421 US 31W Byp
Bowling Green, KY 42101-1775
Mailing address
240 Stage Coach Ave
Alvaton, KY 42122-9578
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240219001229 | KY | Practitioner - Qualified Speech Language Pathologist | 5991149924 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Commonwealth Health Corporation, Inc.
Practice addresses (Care Compare)
421 US 31W Byp
Bowling Green, KY 42101-1775
Phone (270) 782-7768
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167274 | KY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Health Corporation, Inc. | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
| Commonwealth Health Corporation, Inc | Current | Accepting new patients | |
| Commonwealth Health Corporation | Past | Accepting new patients |
Locations
421 US 31W Byp
Bowling Green, KY 42101
Phone (270) 782-7768
350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075
1100 Brookhaven Rd
Franklin, KY 42134
Phone (270) 586-3253
Organizations & group practices 5
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.
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Speech-Language Pathologist
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1447701206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 STAGE COACH AVE",
"city": "ALVATON",
"state": "KY",
"postal_code": "421229578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 US 31W BYP",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011775",
"telephone_number": "270-782-7768",
"fax_number": "270-781-9480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILL",
"first_name": "KEELY",
"middle_name": "ANN",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-17",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "172986",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "167274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.