Individual provider Active NPI

Katherine Marie Keener, MACCC-SLP

  • Speech-Language Pathologist
  • Bluefield, VA
National Provider Identifier
1760507396
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202003275 Issued in VA
Practice address
Westwood Medical Park
Westwood Health Care Center
Bluefield, VA 24605
Phone
(276) 322-5439
Fax
(276) 322-5442
NPI assigned
Mar 20, 2007
Last updated
Jun 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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 2202003275 VA Primary
Speech-Language Pathologist 235Z00000X WV0954 WV

Addresses

Primary practice location

Westwood Medical Park
Westwood Health Care Center
Bluefield, VA 24605

Mailing address

PO Box 902
Princeton, WV 24740-0902
Phone (304) 920-6403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190628001354 WV Practitioner - Qualified Speech Language Pathologist 8820322563 Reassigns benefits to 2 organizations
I20231116003019 VA Practitioner - Qualified Speech Language Pathologist 8820322563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WV Therapy Services LLCGroup PAC ID 8123106416, 26 clinicians

Practice addresses (Care Compare)

415 Benedum Dr
Bridgeport, WV 26330-1503
Phone (304) 842-9887

900 Cary Shop Rd
Burkeville, VA 23922-2119
Phone (304) 842-9887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2202003275VAMDSpeech-Language Pathologist
WV0954WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
WV Therapy Services LLC CurrentSince May 1, 2019 Accepting new patients
Integrated Senior Care PC CurrentSince Aug 10, 2025 Accepting new patients
Broad River Rehabilitation Speech-Language Pathologist CurrentSince Aug 10, 2025 Accepting new patients
Chapman Senior Care, Inc. PastSince Aug 23, 2023 Accepting new patients

Locations

1 Pond St
Arden, NC 28704
Phone 82877452220027

900 Cary Shop Rd
Burkeville, VA 23922
Phone (304) 842-9887

415 Benedum Dr
Bridgeport, WV 26330
Phone (304) 842-9887

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1760507396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 902",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247400902",
            "telephone_number": "304-920-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WESTWOOD MEDICAL PARK",
            "address_2": "WESTWOOD HEALTH CARE CENTER",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "24605",
            "telephone_number": "276-322-5439",
            "fax_number": "276-322-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENER",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MACCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202003275",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "WV0954",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.