Individual provider Active NPI

Kylee Keller, M.S.

  • Speech-Language Pathologist
  • Brighton, MI
National Provider Identifier
1669105755
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101008476 Issued in MI
Practice address
8175 Movie Dr
Brighton, MI 48116-7444
Phone
(248) 277-3005
NPI assigned
Jul 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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 7152000373 MI
Speech-Language Pathologist 235Z00000X 7101008476 MI Primary

Addresses

Primary practice location

8175 Movie Dr
Brighton, MI 48116-7444

Mailing address

8175 Movie Dr
Brighton, MI 48116-7444
Phone (248) 277-3005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230117001885 MI Practitioner - Qualified Speech Language Pathologist 0648641373 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7101008476MIMDSpeech-Language Pathologist
7152000373MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
BWC Brighton LLC Speech-Language Pathologist CurrentSince Jun 2, 2024 Accepting new patients
All About Chatting Speech-Language Pathologist CurrentSince Sep 8, 2025 Accepting new patients
New Heights Speech and Language, PLLC Speech-Language Pathologist PastSince Jul 1, 2022 Accepting new patients

Locations

8175 Movie Dr
Brighton, MI 48116
Phone (248) 277-3005

Organizations & group practices 3

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": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1669105755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8175 MOVIE DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481167444",
            "telephone_number": "248-277-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8175 MOVIE DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481167444",
            "telephone_number": "248-277-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "KYLEE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7152000373",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101008476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.