Individual provider Active NPI

Michaela Briana Keller

  • Speech-Language Pathologist
  • Greensboro, NC
National Provider Identifier
1467972349
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12885 Issued in NC
Practice address
2500 N Church St
Greensboro, NC 27405-4314
Phone
(336) 375-2240
NPI assigned
Jun 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP013945 GA
Speech-Language Pathologist 235Z00000X 12885 NC Primary

Addresses

Primary practice location

2500 N Church St
Greensboro, NC 27405-4314

Mailing address

2500 N Church St
Greensboro, NC 27405-4314
Phone (336) 375-2240

Other names 1

  • Michaela Brown Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20251229000292 NC Practitioner - Qualified Speech Language Pathologist 7012403116 Reassigns benefits to 1 organization
I20251230000680 GA Practitioner - Qualified Speech Language Pathologist 7012403116 Reassigns benefits to 1 organization
I20260318002247 TX Practitioner - Qualified Speech Language Pathologist 7012403116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7600 Chevy Chase Dr
Suite 300
Austin, TX 78752-1503

7600 Chevy Chase Drive BLDG 2
Suite 300
Austin, TX 78752-1503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12885NCMDGeneral Practice Dentistry
SLP013945GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Feb 6, 2026 Accepting new patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Feb 14, 2026 Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

5555 Glenridge Connector
Ste 200
Sandy Springs, GA 30342
Phone (404) 459-2516

5555 Glenridge Connector
Sandy Springs, GA 30342
Phone (202) 276-9478

2530 Meridian Pkwy
Ste 300
Durham, NC 27713
Phone (919) 443-1708

615 Saint George Square Ct
Ste 300
Winston Salem, NC 27103
Phone (336) 793-8125

7600 Chevy Chase Dr
Austin, TX 78752
Phone (512) 649-3880

3800 N Lamar Blvd
Ste 200
Austin, TX 78756
Phone (303) 578-2702

204 E Cano St
Edinburg, TX 78539
Phone (956) 642-0828

Organizations & group practices 2

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": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1467972349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274054314",
            "telephone_number": "336-375-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274054314",
            "telephone_number": "336-375-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "MICHAELA",
        "middle_name": "BRIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP013945",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "12885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAELA",
            "last_name": "BROWN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.

Verify at the official NPI Registry.