Individual provider Active NPI

Keyona Banks

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1821729237
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
119771 Issued in TX
Practice address
5020 Kelvin Dr
Houston, TX 77005-2533
Phone
(225) 910-1068
NPI assigned
Jun 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 119771 TX Primary

Addresses

Primary practice location

5020 Kelvin Dr
Houston, TX 77005-2533

Mailing address

2759 Madison Ave
Baton Rouge, LA 70802-2866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240604002943 TX Practitioner - Qualified Speech Language Pathologist 7214479393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prospera Rehabilitation LLCGroup PAC ID 2860839099, 7 clinicians

Practice addresses (Care Compare)

16700 Ella Blvd
Houston, TX 77090-4214
Phone (832) 920-2025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Speech-Language Pathologist CurrentSince Apr 29, 2024 Accepting new patients
Prospera Rehabilitation LLC Speech-Language Pathologist CurrentSince Jun 25, 2024 Accepting new patients
Powerback Rehabilitation LLC Speech-Language Pathologist CurrentSince Apr 29, 2024 Accepting new patients

Locations

16700 Ella Blvd
Houston, TX 77090
Phone (281) 215-5985

22720 Morton Ranch Rd
Ste 160
Katy, TX 77449
Phone (409) 292-7685

2021 FM 1092 Rd
Missouri City, TX 77459
Phone (281) 565-4144

7801 N Richland Blvd
North Richlnd Hls, TX 76180
Phone (469) 609-9044

Organizations & group practices 3

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": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1821729237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2759 MADISON AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708022866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 KELVIN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770052533",
            "telephone_number": "225-910-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "KEYONA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "119771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.