Active NPI
Melanie Keffer, M.S., CCC-SLP
- Speech-Language Pathologist
- Gardnerville, NV
National Provider Identifier
1679935852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-1844 PROVISIONAL
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679935852 | Medicaid | NV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SP-1844 PROVISIONAL | NV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Speech-Language Pathologist
- Reno, NV
- NPI 1194162990
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.