Robin J Keller, MS, SLP/CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

114180 Issued in TX

Practice address

1000 Saint Louis Ave
Fort Worth, TX 76104-3366

Phone

(817) 921-5020

Fax

(817) 921-5022

NPI assigned

Apr 5, 2010

Last updated

Sep 26, 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

Other identifiers 1

Other names 1

• Miss Robin J Doranski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1538484365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SAINT LOUIS AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043366",
            "telephone_number": "817-921-5020",
            "fax_number": "817-921-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SAINT LOUIS AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043366",
            "telephone_number": "817-921-5020",
            "fax_number": "817-921-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "ROBIN",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MS, SLP/CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "114180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149984001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "DORANSKI",
            "middle_name": "J",
            "prefix": "MISS",
            "credential": "MS SLP/CFY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Keller Desai Dental PLLC (Care 32 Dental)
• Keller Modern Dentistry and Orthodontics, PC (Keller Modern Dentistry and Orthodontics)
• Keller Vision Corporation (Apex Eye Care)
• Payton Keller, DDS
• Robert Tyson Keller, MD
• Stewart R Keller, DO
• Susan Keller
• Joel Kellerlee, DO
• Nakia Deontranise Kelley-Humphrey, STA
• Arnette Ladelle Kelley, CNM

• Speech-Language Pathologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.