Active NPI
Jennifer Suzanne Keeler, MS, CCC/SLP
- Speech-Language Pathologist
- North Andover, MA
National Provider Identifier
1700108974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7804
- Practice address
- 820 Turnpike St
Suite 104
North Andover, MA 01845-6125 - Phone
- (978) 681-6605
- Fax
- (978) 681-6601
- NPI assigned
- Feb 16, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7804 | MA | Primary |
Addresses
Primary practice location
820 Turnpike St
Suite 104
North Andover, MA 01845-6125
Mailing address
820 Turnpike St
Suite 104
North Andover, MA 01845-6125
Phone (978) 681-6605
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7804 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409616000000",
"number": "1700108974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 TURNPIKE ST",
"address_2": "SUITE 104",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018456125",
"telephone_number": "978-681-6605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 TURNPIKE ST",
"address_2": "SUITE 104",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018456125",
"telephone_number": "978-681-6605",
"fax_number": "978-681-6601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEELER",
"first_name": "JENNIFER",
"middle_name": "SUZANNE",
"credential": "MS, CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-16",
"last_updated": "2014-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "7804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.