Active NPI
Stacey Ann Keith, M.S., CCC-SLP
- Speech-Language Pathologist
- Apex, NC
National Provider Identifier
1497957245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7374
- Practice address
- 1031 Pemberton Hill Rd Ste 101
Apex, NC 27502-4278 - Phone
- (919) 372-5489
- Fax
- (866) 889-4751
- NPI assigned
- Jun 4, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | 7374 | NC | |
| Speech-Language Pathologist | 235Z00000X | 7374 | NC | Primary |
Addresses
Primary practice location
1031 Pemberton Hill Rd Ste 101
Apex, NC 27502-4278
Mailing address
1031 Pemberton Hill Rd Ste 101
Apex, NC 27502-4278
Phone (919) 372-5489
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | apextherapync@gmail.com | Direct |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7374 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1497957245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 PEMBERTON HILL RD STE 101",
"city": "APEX",
"state": "NC",
"postal_code": "275024278",
"telephone_number": "919-372-5489",
"fax_number": "866-889-4751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 PEMBERTON HILL RD STE 101",
"city": "APEX",
"state": "NC",
"postal_code": "275024278",
"telephone_number": "919-372-5489",
"fax_number": "866-889-4751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEITH",
"first_name": "STACEY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "NC",
"license": "7374",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "7374",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "apextherapync@gmail.com",
"affiliation": "N",
"endpointDescription": "Apex Therapy NC, Inc.'s email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "1031 Pemberton Hill Rd Ste 101",
"city": "Apex",
"state": "NC",
"country_code": "US",
"postal_code": "275024278",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Apex, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.