Individual provider Active NPI

Rebekah R Keifer, CCC-SLP

  • Speech-Language Pathologist
  • Spokane Valley, WA
National Provider Identifier
1962691790
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00004719 Issued in WA
Practice address
9212 E Montgomery Ave
Suite 103
Spokane Valley, WA 99206-4239
Phone
(509) 922-0855
Fax
(509) 921-0050
NPI assigned
Oct 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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 LL00004719 WA Primary

Addresses

Primary practice location

9212 E Montgomery Ave
Suite 103
Spokane Valley, WA 99206-4239

Mailing address

9212 E Montgomery Ave
Suite 103
Spokane Valley, WA 99206-4239
Phone (509) 922-0855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7600 Chevy Chase Dr
Suite 300
Austin, TX 78752-1503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LL00004719WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1962691790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9212 E MONTGOMERY AVE",
            "address_2": "SUITE 103",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064239",
            "telephone_number": "509-922-0855",
            "fax_number": "509-921-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9212 E MONTGOMERY AVE",
            "address_2": "SUITE 103",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064239",
            "telephone_number": "509-922-0855",
            "fax_number": "509-921-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIFER",
        "first_name": "REBEKAH",
        "middle_name": "R",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00004719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.