Gina M Keller, MSCCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL008643 Issued in PA

Practice address

44 Donaldson Rd
Tremont, PA 17981-1424

Phone

(570) 695-3493

NPI assigned

Mar 22, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1922124882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 TWIN CREEKS DR",
            "address_2": "PO BOX 7",
            "city": "JONESTOWN",
            "state": "PA",
            "postal_code": "170388319",
            "telephone_number": "570-590-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 DONALDSON RD",
            "city": "TREMONT",
            "state": "PA",
            "postal_code": "179811424",
            "telephone_number": "570-695-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "GINA",
        "middle_name": "M",
        "credential": "MSCCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL008643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Cesari
• Stephanie Devine
• April Fetterolf, PTA
• Jaclyn Gretsky, MA CCC/SLP
• Amber Michelle Hunter, LMT, MMP
• Theresa Leffler
• Jana Lynn Mace, DPT
• Stacy Lynn Miller, MSPT
• Marcy Elizabeth Minnig
• Northern Health Facilities, Inc.

• Speech-Language Pathologist in Tremont, PA
• Providers in Tremont, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.