Active NPI
Wendy Allison Keeler, M.A., CCC-SLP
- Speech-Language Pathologist
- Madison, AL
National Provider Identifier
1679612758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3416
- Practice address
- 223 Heritage Mill Dr.
Madison, AL 35758-1543 - Phone
- (407) 310-6052
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA 6480 | FL | |
| Speech-Language Pathologist | 235Z00000X | 3416 | AL | Primary |
Addresses
Primary practice location
223 Heritage Mill Dr.
Madison, AL 35758-1543
Mailing address
223 Heritage Mill Dr.
Madison, AL 35758-1543
Phone (407) 310-6052
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12054899 | Other | FL | ASHA NUMBER |
| SA 6480 | Other | FL | STATE LICENSE |
| 686276496 | Medicaid | FL | |
| 886822100 | Medicaid | FL | |
| 3416 | Other | AL | ALABAMA STATE LICENSE |
Other names 1
- Ms. Wendy Allison Holmes
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 6480 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359676800000",
"number": "1679612758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 HERITAGE MILL DR.",
"city": "MADISON",
"state": "AL",
"postal_code": "357581543",
"telephone_number": "407-310-6052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 HERITAGE MILL DR.",
"city": "MADISON",
"state": "AL",
"postal_code": "357581543",
"telephone_number": "407-310-6052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEELER",
"first_name": "WENDY",
"middle_name": "ALLISON",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2013-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 6480",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "3416",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA NUMBER",
"identifier": "12054899",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "SA 6480",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "686276496",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "886822100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA STATE LICENSE",
"identifier": "3416",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "WENDY",
"last_name": "HOLMES",
"middle_name": "ALLISON",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.