Individual provider Active NPI

Kaitlyn Hacker-Keeling, CCC-SLP

  • Speech-Language Pathologist
  • Frisco, TX
National Provider Identifier
1609564582
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
119597 Issued in TX
Practice address
5850 Town and Country Blvd Ste 201
Frisco, TX 75034-6944
Phone
(817) 345-7530
NPI assigned
Apr 27, 2023
Last updated
Aug 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 119597 TX Primary

Addresses

Primary practice location

5850 Town and Country Blvd Ste 201
Frisco, TX 75034-6944

Mailing address

140 S Ranger St
Hereford, TX 79045
Phone (806) 344-5248

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

LicenseStateTypeSpecialty
119597TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
K8 Therapy & Assessment Services, PLLC Current Accepting new patients
16:24 Therapy CurrentSince Jan 12, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1609564582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S RANGER ST",
            "city": "HEREFORD",
            "state": "TX",
            "postal_code": "79045",
            "telephone_number": "806-344-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 TOWN AND COUNTRY BLVD STE 201",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346944",
            "telephone_number": "817-345-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKER-KEELING",
        "first_name": "KAITLYN",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "119597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.