Individual provider Active NPI

Melanie Keffer, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Gardnerville, NV
National Provider Identifier
1679935852
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-1844 PROVISIONAL Issued in NV
Practice address
1565 Virginia Ranch Rd
Gardnerville, NV 89410-5704
Phone
(844) 570-5714
NPI assigned
Mar 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2021

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 SP-1844 PROVISIONAL NV Primary
Speech-Language Pathologist 235Z00000X SP-1844 NV

Addresses

Primary practice location

1565 Virginia Ranch Rd
Gardnerville, NV 89410-5704

Mailing address

10085 Raccoon CT
Reno, NV 89523-9605
Phone (775) 622-5735

Other practice location 1

3935 S McCarran Blvd
Reno, NV 89502-7510
Phone (775) 982-5000

Other identifiers 1

IdentifierTypeStateIssuer
1679935852MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL melanie.carlson@genesishcc.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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP-1844 PROVISIONALNVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Speech and Therapy Group Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1679935852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10085 RACCOON CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895239605",
            "telephone_number": "775-622-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 VIRGINIA RANCH RD",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105704",
            "telephone_number": "844-570-5714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3935 S McCarran Blvd",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895027510",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEFFER",
        "first_name": "MELANIE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-1844 PROVISIONAL",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-1844",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679935852",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "melanie.carlson@genesishcc.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1565 Virginia Ranch Rd",
            "city": "Gardnerville",
            "state": "NV",
            "country_code": "US",
            "postal_code": "894105704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gardnerville, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.