Active NPI
Preston Alexandria Keener, M.S.
- Speech-Language Pathologist
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11271
- Practice address
- 1011 Porters Neck Rd
Wilmington, NC 28411-9196 - Phone
- (910) 686-7195
- NPI assigned
- Oct 12, 2015
- Last updated
- Jan 25, 2024
- 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 | 11271 | NC | Primary |
Addresses
Primary practice location
1011 Porters Neck Rd
Wilmington, NC 28411-9196
Mailing address
1106 Millheim CT
Wilmington, NC 28411-1069
Phone (336) 404-7312
Other practice location 1
311 S Campbell St
Burgaw, NC 28425-5011
Phone (910) 259-6007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Porters Neck Rd
Wilmington, NC 28411-7622
Phone (910) 218-1995
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11271 | NC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Therapeutics LTD | Speech-Language Pathologist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2147 Davie Ave
Statesville, NC 28625
Phone (704) 878-0123
1200 Porters Neck Rd
Wilmington, NC 28411
Phone (866) 806-6213
Organizations & group practices 2
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.
-
- Physical Therapist
- Statesville, NC
- NPI 1619575651
Speech-Language Pathologist
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1891166260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 MILLHEIM CT",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284111069",
"telephone_number": "336-404-7312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 PORTERS NECK RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284119196",
"telephone_number": "910-686-7195"
}
],
"practiceLocations": [
{
"address_1": "311 S Campbell St",
"address_purpose": "LOCATION",
"city": "Burgaw",
"state": "NC",
"postal_code": "284255011",
"country_code": "US",
"telephone_number": "910-259-6007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEENER",
"first_name": "PRESTON",
"middle_name": "ALEXANDRIA",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-12",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "11271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.