Hayley Rose Keller, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP-5792 Issued in ID

Practice address

2127 W Overland Rd
Boise, ID 83705-3149

Phone

(208) 321-4898

NPI assigned

Jun 5, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Skybreak Therapy, PLLC

  • Pediatric Occupational Therapist
  • Boise, ID
  • NPI 1841947793

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1699469718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837053149",
            "telephone_number": "208-321-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837053149",
            "telephone_number": "208-321-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "HAYLEY",
        "middle_name": "ROSE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "TSLP-5792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teo Keilwitz
• Annie Marie Keim, LPC
• Tesslyn Suzanne Keim, PA-C
• Jordan Kell, PHARMACY INTERN
• Valerie Lynn Kellbach Barizo, DDS
• Terry Keller
• Christopher Kelley
• Jillian Kelley, LMSW
• Kathleen Bruce Kelley, OTR L
• Quentin Jeffrey Kelley, PHARMD

• Speech-Language Pathologist in Boise, ID
• Providers in Boise, ID by specialty
• Speech-Language Pathologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.